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

Dr. Edwin Jacob Humphrey IV, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1295754547

Dr. Edwin Jacob Humphrey IV, MD is a Pathology in St Petersburg, Florida. Graduated from Jc Edwards School of Medicine, Marshall University in 1986, 40 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
40
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 6th St S
St Petersburg, FL 33701-4814
Phone: (727) 893-6182
Fax: (727) 893-6861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME0051812 (FL)

Record details

NPI number1295754547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 1986 (40 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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