Individual provider Active NPI

Mark S. Edwards, M.D.

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1184647166
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD14066 Issued in TN
Practice address
2195 West St
Germantown, TN 38138-3830
Phone
(901) 318-1946
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14066 TN Primary
Hospitalist Physician 208M00000X 14066 TN

Addresses

Primary practice location

2195 West St
Germantown, TN 38138-3830

Mailing address

7857 Lennox CV
Germantown, TN 38138-4929
Phone (901) 761-6157

Other practice location 1

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 755-5556 ext. 14

Other practice location 2

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 755-5556 ext. 14

Other practice location 3

1240 S Germantown Rd
Germantown, TN 38138-2226
Phone (901) 761-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128001001 TN Practitioner - Internal MedicinePractitioner - Hospitalist 2860422821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2195 W St
Germantown, TN 38138-3830
Phone (901) 318-1946

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14066TNMDInternal Medicine Physician
14066TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine East, PC Internal Medicine CurrentSince Aug 18, 2005 Accepting new patients
Edwards Internal Medicine PLLC CurrentSince May 7, 2012 Accepting new patients

Locations

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

2195 West St
Germantown, TN 38138
Phone (901) 318-1946

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1184647166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 LENNOX CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381384929",
            "telephone_number": "901-761-6157",
            "fax_number": "901-844-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383830",
            "telephone_number": "901-318-1946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-755-5556 x14",
            "fax_number": "901-755-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-755-5556 x14",
            "fax_number": "901-755-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 S Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382226",
            "country_code": "US",
            "telephone_number": "901-761-6157",
            "fax_number": "901-844-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD14066",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "14066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.