NPIMap

Organization Active NPI

Eduardo MD LLC

  • Surgery Physician
  • Newnan, GA
National Provider Identifier
1124854963
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EDUARDO MD LLC
Practice address
110 Oak Hill Blvd Ste 100
Newnan, GA 30265-2313
Phone
(203) 500-3957
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Dr. Roger Eduardo, MDNPI 1962792366
Title
Ceo/Owner
Phone
(203) 500-3957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

110 Oak Hill Blvd Ste 100
Newnan, GA 30265-2313

Mailing address

90 High Garden Ter
Newnan, GA 30263-7000
Phone (203) 500-3957

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1124854963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HIGH GARDEN TER",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302637000",
            "telephone_number": "203-500-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "203-500-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "EDUARDO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "203-500-3957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.