Active NPI
Edward Andrew McDermott Jr., DO
- Driver
- Atlanta, GA
National Provider Identifier
1184292856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 070055672
- Practice address
- 2708 N Hill Pkwy
Atlanta, GA 30341-1271 - Phone
- (504) 390-4606
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 070055672 | GA | Primary |
Addresses
Primary practice location
2708 N Hill Pkwy
Atlanta, GA 30341-1271
Mailing address
2708 N Hill Pkwy
Atlanta, GA 30341-1271
Phone (504) 390-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070055672 | GA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1184292856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 N HILL PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411271",
"telephone_number": "504-390-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 N HILL PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411271",
"telephone_number": "504-390-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "EDWARD",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "070055672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.