Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1164424131
Dana Phillip EdwardsM.D.
Active
NPI Number1164424131
NPI TypeNPI-1 Individual
SpecialtySurgery
Provider Details
NPI1164424131
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-08-10
Last Updated2022-04-26
Mailing Address204 Town Branch Rd
Manchester, KY 40962-1322
United States
Phone: (606) 598-8766 | Fax: (606) 598-1903
📍 View Map
Primary Practice Address204 Town Branch Rd
Manchester, KY 40962-1322
United States
Phone: (606) 598-8766 | Fax: (606) 598-1903
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)KY1164424131npi
MEDICAIDKY64347479-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208600000X – SurgeryKY34747
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About NPI 1164424131

Dana Phillip Edwards M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164424131. The primary specialty listed is Surgery. The provider is located in Manchester, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164424131?

NPI 1164424131 belongs to Dana Phillip Edwards M.D., a Surgery in Manchester, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164424131 active?

The current status of NPI 1164424131 in the NPPES registry is Active. The record was last updated on 2022-04-26.

What specialty is NPI 1164424131?

NPI 1164424131 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164424131?

You can verify NPI 1164424131 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164424131?

The primary practice address on file for NPI 1164424131 is 204 Town Branch Rd, Manchester, KY 40962-1322. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164424131 issued?

NPI 1164424131 was first issued (enumerated) on 2005-08-10. The NPPES record was last updated on 2022-04-26.

Practice Location Map

Dana Phillip Edwards is located at 204 Town Branch Rd, Manchester, KY. Use the map below to find directions or verify the practice location.

📍 204 Town Branch Rd, Manchester, KY 40962-1322  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dana Phillip Edwards. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164424131. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Surgery34747KY
Data Verified from CMS NPPES Last synced: 2026-08-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162