Edward D Conner MD PC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

035027 Issued in GA

Legal business name

EDWARD D CONNER MD PC

Practice address

112 Gleneagles Cir
Macon, GA 31210-2943

Phone

(478) 747-9474

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Darrell Conner, MD

Title

President

Phone

(478) 747-9474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1356762553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GLENEAGLES CIR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102943",
            "telephone_number": "478-747-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GLENEAGLES CIR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102943",
            "telephone_number": "478-747-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D CONNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-747-9474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "035027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821045808",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eclipse Anesthesia LLC (AHP of Macon LLC)
• Walter T Edalgo, CRNA
• Gary Eddy Sr., MD
• Dara Edghill, CRNA
• Hayley Edmonston, PMHNP-BC
• Consuela Bertina Edwards, LPC
• Daniel Morgan Edwards, LPC
• Emily Edwards, NP
• Lindsay Edwards, M.D. PH.D.
• Marshall Craig Edwards, PA-C

• Neonatal-Perinatal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Neonatal-Perinatal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.