Individual provider Active NPI

Edelweiss Von Maack, NP-C

  • Gerontology Nurse Practitioner
  • Calhoun, GA
National Provider Identifier
1093128860
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
GAA-NP004959 Issued in GA
Practice address
197 Curtis Pkwy NE
Calhoun, GA 30701-2063
Phone
(706) 602-9546
Fax
(877) 734-1330
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95008619 CA
Gerontology Nurse Practitioner 363LG0600X GAA-NP004959 GA Primary
Gerontology Nurse Practitioner 363LG0600X 18217 TN
Gerontology Nurse Practitioner 363LG0600X AP60451797 WA

Addresses

Primary practice location

197 Curtis Pkwy NE
Calhoun, GA 30701-2063

Mailing address

197 Curtis Pkwy NE
Calhoun, GA 30701-2063
Phone (706) 602-9546

Other names 1

  • Edelweiss Whitson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140623002115 WA Practitioner - Nurse Practitioner 1850515354 Reassigns benefits to 1 organization
I20180413001958 CA Practitioner - Nurse Practitioner 1850515354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 16, 2018 Accepting new patients
Rare Wellness CurrentSince Oct 23, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Bastion Health PC CurrentSince Mar 25, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 16, 2018 Accepting new patients
Selkirk Interventional Pain Physicians PLLC PastSince Jan 1, 2023 Accepting new patients

Locations

24785 Stewart St
Ste 111
Loma Linda, CA 92350
Phone (909) 558-4594

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

Interoperability endpoints

  • Direct secure messaging: evonmaack148398@direct.llu.edu
  • Direct secure messaging: edelweiss.von.maack.1@6721.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1093128860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CURTIS PKWY NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012063",
            "telephone_number": "706-602-9546",
            "fax_number": "877-734-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CURTIS PKWY NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012063",
            "telephone_number": "706-602-9546",
            "fax_number": "877-734-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON MAACK",
        "first_name": "EDELWEISS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95008619",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "GAA-NP004959",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "18217",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60451797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDELWEISS",
            "last_name": "WHITSON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.