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

Dr. Supakunya Edmonson, DO

Individual provider Neurology Physician · NPI 1366420853

Dr. Supakunya Edmonson, DO is a Neurology in Norfolk, Virginia. Graduated from Nova Southeastern College of Osteo Medicine in 2004, 22 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Virginia.

Years since qualifying
22
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
MO, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

Uss Enterprise Medical Dept
Norfolk, VA 23551-0001
Phone: (757) 444-8632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 — (636) 237-4733

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 0102201767 (VA)
Neurology Physician Taxonomy 2084N0400X · Licence 2022046492 (MO)

Record details

NPI number1366420853
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2004 (22 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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