Michael L Edgeworth, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD39356 Issued in TN

Practice address

912 Stuart LN
Brentwood, TN 37027-5822

Phone

(615) 406-4994

NPI assigned

Apr 16, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.edgeworth@hca1.eclinicaldirectplus.com

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

• Octave TN Medical PLLC

  • Neuroradiology Physician
  • Brentwood, TN
  • NPI 1326764556
  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063637791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 STUART LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275822",
            "telephone_number": "615-406-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 STUART LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275822",
            "telephone_number": "615-406-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEWORTH",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD39356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eastern Wound Care P.C.
• Samantha Eckels
• Tamrat D Edea
• W Daniel Edmondson, MD
• Kristen Edmonson
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• Clarice Alessa Edwards, BS, CNIM
• John O Edwards, LEAP

• Neurology Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.