Organization Active NPI

Edge Medical Services

  • Birthing Clinic/Center
  • Smyrna, GA
National Provider Identifier
1043761406
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
EDGE MEDICAL SERVICES
Practice address
3832 Ridgewood Dr SE
Smyrna, GA 30080-5926
Phone
(800) 348-4623
NPI assigned
Oct 20, 2016
Organization subpart
Yes
Parent organization
EDGE MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Victoria Lee
Title
Admin
Phone
(800) 348-4623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

3832 Ridgewood Dr SE
Smyrna, GA 30080-5926

Mailing address

1141 N Loop 1604 E # 105187
San Antonio, TX 78232-1339
Phone (800) 348-4623

National Provider Directory

National Provider Directory
Tax ID family
Edge Medical Services92 organizations share this tax ID, including this one
Part of
Edge Medical Services

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1043761406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105187",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "800-348-4623",
            "fax_number": "800-391-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 RIDGEWOOD DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805926",
            "telephone_number": "800-348-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGE MEDICAL SERVICES INC",
        "enumeration_date": "2016-10-20",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "800-348-4623"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.