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

Douglas Lindley Edenburn, PA

Individual provider Physician Assistant · NPI 1952869513

Douglas Lindley Edenburn, PA is a Physician Assistant in Concord, North Carolina. Qualified in 2019, 7 years ago. Practices with Triad Radiology Associates PLLC, a 75-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3020 Weddington Rd
Concord, NC 28027-8158
Phone: (704) 403-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08985 (NC)

Record details

NPI number1952869513
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 3, 2019
Last updated in NPPESJuly 15, 2024
Certification dateSeptember 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Triad Radiology Associates Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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