Edfirst Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDFIRST MEDICAL CENTER

Practice address

336 Valley Rd
Lawrenceville, GA 30044-4167

Phone

(770) 921-1100

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Michael Boyd

Title

Owner

Phone

(770) 921-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154498566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 VALLEY RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444167",
            "telephone_number": "770-921-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 VALLEY RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444167",
            "telephone_number": "770-921-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDFIRST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-921-1100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echho Healthcare Services LLC
• Shanavia Echols
• Shawndra Jovan Echols
• Ecomstorrease
• Eden River
• Shree L Edge-Burton
• William L Edison
• Edlyn LLC
• Mike Edouard, RBT
• Lakeysha Edwards-Wilson, LCSW

• Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.