THOMAS EDWARDS (PA-C) – Physician Assistant, NPI 1194720672

Physician Assistant

THOMAS EDWARDS (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C50000228 (DE). The NPI Number for THOMAS EDWARDS (PA-C) is 1194720672

Main info

Male

28 Years Of Experience

Accepts Medicare Assignment

Name

THOMAS EDWARDS (PA-C)

NPI

1194720672

Phone

(302) 655-9494

Address

1096 OLD CHURCHMANS RD

Enumeration Date

20 June 2005

Last Update Date

2 July 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1998 (28 years ago)

PAC ID

4789584947

Group Practice PAC ID

7911987144

Professional Enrollment ID

I20040113000156

Address ID

DE198053165WI701XXSTXX400

Contacts

Secure Messaging

thomas.edwards@direct.4.mycarefile.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for THOMAS EDWARDS (PA-C)

1096 OLD CHURCHMANS RD
NEWARK, DE 197132102
Phone: (302) 655-9494
Fax: (302) 623-4147
Type: Location
701 N Clayton St
Wilmington, DE 198053155
Phone: (302) 354-5157
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20040113000156	I	Physician Assistant	DE	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7911987144View full group profile

Name	Specialty	State
STEFANIA KARAVASILIS	Physician Assistant	DE
MISS LAURA L. OLIVER (PA-C)	Physician Assistant	DE
MS. SHAWNA MARIE MCCORMICK (PA-C)	Physician Assistant	DE
BRITTANY WOLTEMATE-HALL	Nurse Practitioner	DE
KIMBERLY BOEHMLER (CNM)	Certified Nurse Midwife (Cnm)	DE
MS. GINA MARIE POPPITI (PA-C)	-	PA
BRIAN PATRICK MCDONOUGH (MD)	Family Practice	PA
ELISA NICOLE KERSHAW (PA-C)	-	PA
FELICIA HELENE HAWKINS (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	PA
ELEAZAR O'GARRO (D.O.)	O B S T E T R I C S/ G Y N E C O L O G Y	DE