Edwards Internal Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD14066 Issued in TN

Legal business name

EDWARDS INTERNAL MEDICINE PLLC

Practice address

2195 West St
Germantown, TN 38138-3830

Phone

(901) 755-5556

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Edwards, MDNPI 1184647166

Title

Physician

Phone

(901) 318-1946

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark S. Edwards, M.D.

  • Internal Medicine Physician
  • Germantown, TN
  • NPI 1184647166
  Medicare reassignment NPD Authorized official
• Lynn M Foley, M.D.

  • Dermatology Physician
  • Germantown, TN
  • NPI 1407952559
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1497015168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383830",
            "telephone_number": "901-318-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383830",
            "telephone_number": "901-755-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382226",
            "country_code": "US",
            "telephone_number": "901-761-6157",
            "fax_number": "901-844-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARDS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-318-1946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD14066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Eber, M.D.
• Stanley Chinomnso Eboh, MD
• Haylea Layne Echols, DNP, PNP-PC
• Michael L Edelson, M.D.
• Edp of Tennessee PC
• Abigail Clark Edwards, RN
• Alex Edwards, RPH
• Amy Edwards, LCSW
• Courtney P Edwards, D.D.S
• Ladonna Renee Edwards, MSN, APRN, FNP-C

• Primary Care Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.