Active NPI
Jonathan Edwards, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1043284458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 94-00481
- Practice address
- 2685 Metropolitan Pkwy SW Ste G
Atlanta, GA 30315-7926 - Phone
- (404) 596-4344
- Fax
- (844) 935-6886
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-00481 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 84130 | GA |
Addresses
Primary practice location
2685 Metropolitan Pkwy SW Ste G
Atlanta, GA 30315-7926
Mailing address
147 Asheland Ave
Asheville, NC 28801-4013
Phone (828) 258-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N00481 | Medicaid | SC | |
| 8930097 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Chattanooga, TN 37422
PO Box
Suite 22757
Chattanooga, TN 37422-2757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84130 | GA | MD | Internal Medicine Physician |
| 94-00481 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Loving Care Homes, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Quality Family Services, Inc. | Past | Accepting new patients |
Locations
2 Walden Ridge Dr
Ste 30
Asheville, NC 28803
Phone (828) 676-1657
Interoperability endpoints
- jonathanedwards@bma.allscriptsdirect.net
- jonathan.edwards@509732829921284.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/DJCCBA/Endpoint/DJCCBA
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Asheville, NC
- NPI 1053623140
-
- Federally Qualified Health Center (FQHC)
- Huntsville, AL
- NPI 1770635633
-
- Surgery Physician
- Winston Salem, NC
- NPI 1114250354
-
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1346387206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1043284458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 ASHELAND AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014013",
"telephone_number": "828-258-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 METROPOLITAN PKWY SW STE G",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303157926",
"telephone_number": "404-596-4344",
"fax_number": "844-935-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "94-00481",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "84130",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00481",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930097",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.