DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) – General Practice Physician, NPI 1114367802

DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME163629 (FL). The NPI Number for DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) is 1114367802

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMELIA D LAKRAJ-EDWARDS (M.D.)
NPI
1114367802
Phone
(305) 810-7983
Address
1120 15TH STREET
Enumeration Date
27 June 2013
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616322242
Graduation Year
2012 (14 years ago)
PAC ID
9032353230
Group Practice PAC ID
0941725428
Professional Enrollment ID
I20250416003973
Address ID
FL349831338PO4531XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

33 OSTEOPATHIC MANIPULATIVE MEDICINE in GA

Provider Addresses for DR. TAMELIA D LAKRAJ-EDWARDS (M.D.)

  • 1120 15TH STREET

    AUGUSTA, GA 30912

    Phone: (305) 810-7983

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (305) 810-7983

    Type: Location

  • 4531 NW GLAZBROOK ST

    PORT SAINT LUCIE, FL 349831338

    Phone: (772) 780-2396

    Type: Mailing

  • 7031 SW 62ND AVE

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Mailing

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: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230831000837IGeneral PracticeFLTBD
I20250416003973IOsteopathic Manipulative MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes19120$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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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: 0941725428View full group profile
NameSpecialtyState
Sports Medicine, Internal MedicinePA
Osteopathic Manipulative MedicineOK

Reviews

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Frequently asked questions

Can I verify DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) with an NPI only?
You can start verification with NPI 1114367802 for DR. TAMELIA D LAKRAJ-EDWARDS (M.D.), then check state licensing separately.
Is DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) listed as active for patients and plans?
The listing shows DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) as active in the NPI system.
What is DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) best known for clinically?
Directory data describes DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) on a map?
Expect Augusta, Georgia as a primary anchor for DR. TAMELIA D LAKRAJ-EDWARDS (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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