Vernon Edmonds

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

033-R-0664 Issued in GA

Practice address

5613 Maxon Marsh Dr
Hiram, GA 30141-2880

Phone

(770) 436-3314

Fax

(770) 436-3314

NPI assigned

Aug 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Agape Healthcare Solutions, LLC

  • In Home Supportive Care Agency
  • Powder Springs, GA
  • NPI 1851076913
  NPD Authorized official

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1306126347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 MAXON MARSH DR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412880",
            "telephone_number": "770-436-3314",
            "fax_number": "770-436-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 MAXON MARSH DR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412880",
            "telephone_number": "770-436-3314",
            "fax_number": "770-436-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "033-R-0664",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "033-R-0664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayana Christine Dubier, DDS
• Aliaksandr Dzmitryieu, M.D.
• Jessica Ebong, PA-C
• Anahid A Ebrahimi, PA-C
• Ijeoma Genevieve Eccles-James, MSC, MD
• Vanessa Edwards-Benjamin, LAPC
• Timothy Chad Ehmer, DC
• Ejuan Hair Replacement Center
• Elite Trio LLC
• Ingrid A Ellison, M.D.

• Home Health Aide in Hiram, GA
• Providers in Hiram, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.