NPIMap

Individual provider Active NPI

Christopher Alton Edens, MD

  • Emergency Medicine Physician
  • Peachtree City, GA
National Provider Identifier
1194762625
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042042 Issued in GA
Practice address
2011 Commerce Dr N Ste 25
Peachtree City, GA 30269-3538
Phone
(478) 542-0311
NPI assigned
Jun 1, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 042042 GA Primary
General Practice Physician 208D00000X 42042 GA

Addresses

Primary practice location

2011 Commerce Dr N Ste 25
Peachtree City, GA 30269-3538

Mailing address

2011 Commerce Dr N Ste 25
Peachtree City, GA 30269-3538
Phone (844) 994-6633

Other identifiers 2

IdentifierTypeStateIssuer
000757182KMedicaidGA
002023289OtherGAUNITED HEALTHCARE MPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000441 GA Practitioner - Emergency Medicine 1456302389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mercer University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gomed, LLCGroup PAC ID 9537425533, 6 clinicians
Hightower Emergency Group PCGroup PAC ID 3577825751, 29 clinicians

Practice addresses (Care Compare)

2011 Commerce Dr N
Suite 25
Peachtree City, GA 30269-3538
Phone (844) 994-6633

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42042GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Sep 16, 2025 Accepting new patients
Coweta Emergency Group LLC Emergency Medicine CurrentSince Jun 24, 2010 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Dec 19, 2018 Accepting new patients
Edens Health Group Lawrenceville Emergency Medicine PastSince Sep 5, 2017 Accepting new patients
Emerginet, LLC PastSince Jul 1, 2001 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Cartersville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Pruitthealth - Griffin, LLC Past Accepting new patients
Gomed Charleston LLC General Practice PastSince Nov 20, 2019 Accepting new patients

Locations

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

Interoperability endpoints

  • Direct secure messaging: christopher.edens.1@22872.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4

Organizations & group practices 10

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

Hospital & facility affiliations 10

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194762625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N STE 25",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "844-994-6633",
            "fax_number": "470-235-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N STE 25",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "478-542-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "042042",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "42042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000757182K",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MPIN",
            "identifier": "002023289",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.