Madelon Edmondson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000180 Issued in GA

Practice address

1875 Old Alabama Rd Ste 630
Roswell, GA 30076-2264

Phone

(770) 744-4276

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 21, 2024 through Mar 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling Paths, LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1376212365
  NPD

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1053836023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE 630",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762264",
            "telephone_number": "770-744-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE 630",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762264",
            "telephone_number": "770-744-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "MADELON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-10-10",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "000180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Murphy Eberbaugh, D.D.S.
• Ec Roswell Operations, LLC (Elmcroft of Roswell)
• Angela Christine Edgar, RN, BSN, CCRN, CMC
• Edge Treatment LLC
• Edi Care Group LLC
• Neena Edupuganti
• Edward J Furey OD PC
• Corrinna Monique Edwards, CPM
• Emily Catherine Edwards, OT
• Krista Edwards

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.