DR. AMANDA GAYLE EDWARDS (AUD) – Audiologist, NPI 1871751636

DR. AMANDA GAYLE EDWARDS (AUD) is a healthcare provider. based in Tyler, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 51162 (TX). The NPI Number for DR. AMANDA GAYLE EDWARDS (AUD) is 1871751636

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA GAYLE EDWARDS (AUD)
NPI
1871751636
Phone
(903) 747-4050
Address
2210 THREE LAKES PKWY STE 100
Enumeration Date
29 May 2008
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037474050
Graduation Year
2004 (22 years ago)
PAC ID
3173687332
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20090203000193
Address ID
TX757030642TY2210XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

665 QUALIFIED AUDIOLOGIST in TX

Provider Addresses for DR. AMANDA GAYLE EDWARDS (AUD)

  • 2210 THREE LAKES PKWY STE 100

    TYLER, TX 757030642

    Phone: (903) 747-4050

    Type: Mailing

  • PO BOX 610393

    DALLAS, TX 752610393

    Phone: (903) 232-8290

    Fax: (903) 232-1810

    Type: Mailing

  • 707 HOLLYBROOK DR

    LONGVIEW, TX 756052410

    Phone: (903) 291-6194

    Fax: (903) 291-6195

    Type: Location

  • 109, South Park Drive, Brownwood, Brown County, Texas, 76801, United States

    P O BOX 610

    BROWNWOOD, TX 768015917

    Phone: (325) 646-9956

    Fax: (325) 641-1010

    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: 2009-02-03

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

1

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
I20090203000193IQualified AudiologistTXTBD

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
92567Test to assess middle ear function212201$0
92557Comprehensive hearing and speech recognition test206196$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 4486915600View full group profile

Reviews

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Frequently asked questions

Does DR. AMANDA GAYLE EDWARDS (AUD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. AMANDA GAYLE EDWARDS (AUD) uses 1871751636.
Can I rely on DR. AMANDA GAYLE EDWARDS (AUD) being an active provider?
As of the registry snapshot, DR. AMANDA GAYLE EDWARDS (AUD) is marked active.
What healthcare role does DR. AMANDA GAYLE EDWARDS (AUD) hold?
Scheduling teams often label DR. AMANDA GAYLE EDWARDS (AUD) under Audiologist. Clinical services aligned with this taxonomy classification.
Where is DR. AMANDA GAYLE EDWARDS (AUD) based?
DR. AMANDA GAYLE EDWARDS (AUD) is tied to Tyler, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DR. AMANDA GAYLE EDWARDS (AUD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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