P. Edwards Conrad MD. P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

GA45205 Issued in GA

Legal business name

P. EDWARDS CONRAD MD. P.C.

Practice address

2935 N Ashley St Ste D-116
Valdosta, GA 31602-1788

Phone

(229) 244-1192

NPI assigned

Feb 24, 2009

Last updated

May 8, 2009By 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. Penelope Edwards-Conrad, M.D.NPI 1720074602

Title

Owner

Phone

(229) 244-1192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penelope Edwards-Conrad, MD

  • Neurology Physician
  • Valdosta, GA
  • NPI 1720074602
  Authorized official Same address or phone

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1376783811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 L COUNTRY CLUB RD PMB 112",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057425",
            "telephone_number": "229-244-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE D-116",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021788",
            "telephone_number": "229-244-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. EDWARDS CONRAD MD. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-CONRAD",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-244-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "GA45205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Parris Owen, LMFT
• Makayli Rae Owen
• Caitlyn Rowe Owens, SLP
• Justin Lee Owens, DO
• Dushyant Oza, M.D.
• Mason Richard Pacek, LMFT
• Dhanraj N Padhiar, M.D.
• Nirmala Padhiar, M.D.
• Hema Padmanabhan, M.D.
• Jennifer Maria Padron, MSWC

• Neurology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.