Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly L Edmonds, PA-C

Individual provider Surgical Physician Assistant · NPI 1669611034

Holly L Edmonds, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2003, 23 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
23
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6400 Perkins Rd
Baton Rouge, LA 70808-4124
Phone: (225) 330-0497
Fax: (225) 330-0498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence A10599 (LA)

Record details

NPI number1669611034
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2003 (23 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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