Individual provider Active NPI

Veronica V Edwards, PT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1003101064
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010545 Issued in GA
Practice address
1720 Powers Ferry Rd SE
Suite 100
Marietta, GA 30067-5442
Phone
(770) 955-2225
Fax
(770) 953-6658
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010545 GA Primary

Addresses

Primary practice location

1720 Powers Ferry Rd SE
Suite 100
Marietta, GA 30067-5442

Mailing address

2825 Windy Hill Rd SE
Apt 8301
Marietta, GA 30067-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000150 GA Practitioner - Physical Therapist in Private Practice 4385805902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812

970 Woodstock Pkwy
Suite 310
Woodstock, GA 30188-4869
Phone (770) 517-2257

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010545GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Back to Life Medical Group, LLC CurrentSince Mar 1, 2012 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Jan 1, 2020 Accepting new patients
Orthoatlanta, LLC CurrentSince Jan 6, 2020 Accepting new patients

Locations

557 Riverstone Pkwy
Canton, GA 30114
Phone (770) 345-4520

557 Riverstone Pkwy
Ste 100
Canton, GA 30114
Phone (770) 345-4520

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1003101064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WINDY HILL RD SE",
            "address_2": "APT 8301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 POWERS FERRY RD SE",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675442",
            "telephone_number": "770-955-2225",
            "fax_number": "770-953-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "VERONICA",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.