NPIMap

Individual provider Active NPI

Albert M Edwards II, M.D

  • Family Medicine Physician
  • Powder Springs, GA
National Provider Identifier
1265505531
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
030053 Issued in GA
Practice address
4039 Atlanta St Ste 100
Powder Springs, GA 30127-2666
Phone
(770) 241-1326
Fax
(770) 679-3939
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 30053 GA
Pain Medicine Physician 208VP0000X 30053 GA
Family Medicine Physician 207Q00000X 030053 GA Primary

Addresses

Primary practice location

4039 Atlanta St Ste 100
Powder Springs, GA 30127-2666

Mailing address

PO Box 5
Powder Springs, GA 30127-0005
Phone (770) 328-6398

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
I20101018000842 GA Practitioner - Family Practice 0446443824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4039 Atlanta St
Suite 100
Powder Springs, GA 30127-2666
Phone (770) 241-1326

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Medical Group, LLC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Piedmont Healthcare Inc PastSince Feb 3, 2010 Accepting new patients

Locations

9280 Highway 5
Ste D
Douglasville, GA 30134
Phone (770) 328-6398

4039 Atlanta St
Ste 100
Powder Springs, GA 30127
Phone (770) 241-1326

Organizations & group practices 3

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 5

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1265505531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270005",
            "telephone_number": "770-328-6398",
            "fax_number": "404-443-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 ATLANTA ST STE 100",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272666",
            "telephone_number": "770-241-1326",
            "fax_number": "770-679-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "30053",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "30053",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.