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

Gregory Thomas Edwards, PAC

Individual provider Physician Assistant · NPI 1215458690

Gregory Thomas Edwards, PAC is a Physician Assistant in Fairfield, Ohio. Qualified in 2016, 10 years ago. Practices with Brightview LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5108 Sandy Ln
Fairfield, OH 45014-2738
Phone: (866) 934-7450
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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 50.005085RX (OH)

Record details

NPI number1215458690
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedJuly 6, 2017
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brightview Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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