Edgewater Medical LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EDGEWATER MEDICAL LLC

Practice address

465 Leasingham Way
Johns Creek, GA 30097-7198

Phone

(770) 318-8565

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

EDGEWATER MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Onyinyechi Uloma Eke, EKE

Title

Pmhnp-BC

Phone

(770) 318-8565

Specialties & licenses 2

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Edgewater Medical LLC

  • Home Health Agency
  • Johns Creek, GA
  • NPI 1326996687
  NPPES parent name

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1275432858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 LEASINGHAM WAY APT 131",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300977198",
            "telephone_number": "770-318-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 LEASINGHAM WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300977198",
            "telephone_number": "770-318-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGEWATER MEDICAL LLC",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "EKE",
        "authorized_official_first_name": "ONYINYECHI",
        "authorized_official_middle_name": "ULOMA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "770-318-8565",
        "authorized_official_credential": "EKE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Nicole Duvall, D.O.
• Eaglin Dental Group, Johns Creek
• Christopher David Easley, OD
• Natalie Eden
• Pamela Edgerton
• Edgewater Medical LLC
• Christina Louise Ediale
• Nkemakonam Egolum, DDS
• Ehca Diagnostics, LLC (Emory Johns Creek Cardiac Diagnostics)
• Ehca Johns Creek, LLC (Emory Johns Creek Hospital)

• Psychiatric/Mental Health Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.