Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice R Wilson-Edwards

Individual provider Physician Assistant · NPI 1801937859

Alice R Wilson-Edwards is a Physician Assistant in Daytona Beach, Florida. Qualified in 2006, 20 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2007

Practice location Address checks out

305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone: (386) 231-3600
Fax: (386) 231-3602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121692 (FL)

Record details

NPI number1801937859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2007
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Daytona Beach