Anna M Edwards-Gaura, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002990 Issued in GA

Practice address

182 Ben Burton Cir
Suite 100
Bogart, GA 30622-6847

Phone

(706) 995-3160

NPI assigned

Apr 17, 2007

Last updated

Dec 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Anna Edwards Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Made for Kids, Inc.

  • Clinical Child & Adolescent Psychologist
  • Bogart, GA
  • NPI 1205078532
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1265657845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BEN BURTON CIR",
            "address_2": "SUITE 100",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306226847",
            "telephone_number": "706-995-3160",
            "fax_number": "706-243-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BEN BURTON CIR",
            "address_2": "SUITE 100",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306226847",
            "telephone_number": "706-995-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-GAURA",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY002990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002990",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY002990",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "GA",
            "license": "PSY002990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "EDWARDS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John A Dobberstein, DMD
• Alexander K Duggan, MD
• Michelle Durrett, LCSW
• Edg Logistics, LLC
• Edward J Fisher Jr MD Inc
• Cathy Smith Elkins, R.D., L..D.
• Amber L Emard, M.S.W
• Ronald Blaine Everson, PH.D.
• Families 4 Change, Inc.
• Edward J Fisher Jr., MD

• Clinical Psychologist in Bogart, GA
• Providers in Bogart, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.