Individual provider Active NPI

Jonathan Edwards, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1043284458
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
94-00481 Issued in NC
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

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N00481MedicaidSC
8930097MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080311000579 NC Practitioner - Internal Medicine 2860577194 Reassigns benefits to 2 organizations
I20260617002861 AL Practitioner - Internal Medicine 2860577194 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
84130GAMDInternal Medicine Physician
94-00481NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Loving Care Homes, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 3, 2012 Accepting new patients
Quality Family Services, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

2 Walden Ridge Dr
Ste 30
Asheville, NC 28803
Phone (828) 676-1657

Interoperability endpoints

  • Direct secure messaging: jonathanedwards@bma.allscriptsdirect.net
  • Direct secure messaging: jonathan.edwards@509732829921284.direct.elationemr.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.