John Douglas Edwards Jr., R.P.A., RT(R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

302476 Issued in GA

Practice address

20 Glenlake Pkwy NE
Atlanta, GA 30328-3473

Phone

(770) 677-5857

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1184888497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 CHALDEN LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GLENLAKE PKWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283473",
            "telephone_number": "770-677-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.P.A., RT(R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "GA",
            "license": "302476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Edwards, L.M.T., P.T.
• Elizabeth Edwards
• Emily Caroline Edwards, PSYD
• Heather G Edwards, MD
• Jessica R Edwards, P.A.
• Jonathan Edwards, M.D.
• Joseph Kirk Edwards, MD
• Joy S Edwards, NMD PHD MPH APRN
• Katherine M Edwards, PT, DPT,OCS
• Kellie M. Edwards, PH.D.

• Radiologic Technologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.