Individual provider Active NPI

Eddie Joe Turner Jr., MD

  • Family Medicine Physician
  • Mableton, GA
National Provider Identifier
1558504308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65910 Issued in GA
Practice address
4855 Floyd Rd SW
Mableton, GA 30126
Phone
(770) 485-3458
NPI assigned
Apr 9, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 65910 GA
Family Medicine Physician 207Q00000X BP10030092 TX
Family Medicine Physician 207Q00000X 2011-00159 NC
Family Medicine Physician 207Q00000X 65910 GA Primary

Addresses

Primary practice location

4855 Floyd Rd SW
Mableton, GA 30126

Mailing address

4855 Floyd Rd SW
Mableton, GA 30126-1323
Phone (770) 485-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120330000488 GA Practitioner - Family Practice 4284816232 Reassigns benefits to 1 organization
I20140626001585 TX Practitioner - Family PracticePractitioner - Emergency Medicine 4284816232 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65910GAMDFamily Medicine Physician
BP10030092TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camp Creek Urgent Care LLC CurrentSince Jan 14, 2013 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Jun 12, 2014 Accepting new patients
Turner Legacy Healthcare LLC Current Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jul 1, 2014 Accepting new patients
Theoria Medical CurrentSince Apr 10, 2024 Accepting new patients
Fairland Recovery Center Past Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients
GP Wellness Center, LLC PastSince Jan 1, 2016 Accepting new patients

Locations

3730 Carmia Dr SW
Ste 110130
Atlanta, GA 30331
Phone (404) 344-7286

4855 Floyd Rd SW
#104
Mableton, GA 30126
Phone (770) 485-3458

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558504308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 FLOYD RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261323",
            "telephone_number": "770-485-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 FLOYD RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "770-485-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "EDDIE",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "65910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10030092",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-00159",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.