Active NPI
Edelweiss Von Maack, NP-C
- Gerontology Nurse Practitioner
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- GAA-NP004959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Rare Wellness | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Bastion Health PC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Selkirk Interventional Pain Physicians PLLC | Past | 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
- evonmaack148398@direct.llu.edu
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1124077516
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Integrative Medicine Physician
- Spokane, WA
- NPI 1164148748
-
- Pain Medicine (Anesthesiology) Physician
- Spokane, WA
- NPI 1780965186
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.