NPIMap

Individual provider Active NPI

Thomas E Edwards III, MD

  • Family Medicine Physician
  • Thomasville, GA
National Provider Identifier
1558599159
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31723 Issued in SC
Practice address
951 S Broad St
Thomasville Family Medicine Center
Thomasville, GA 31792-6161
Phone
(229) 228-4130
Fax
(229) 226-4690
NPI assigned
Jun 23, 2009
Last updated
Jun 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31723 SC Primary
Family Medicine Physician 207Q00000X 067559 GA

Addresses

Primary practice location

951 S Broad St
Thomasville Family Medicine Center
Thomasville, GA 31792-6161

Mailing address

951 S Broad St
Thomasville Family Medicine Center
Thomasville, GA 31792-6161
Phone (229) 228-4130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120714000053 GA Practitioner - Family Practice 1658536842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

2600 Compass Rd
Glenview, IL 60026-8001

951 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-4130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31723SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jan 17, 2017 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jan 17, 2017 Accepting new patients
Georgia Pines Community Service Board CurrentSince Aug 4, 2012 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
Privia Medical Group, LLC Family Medicine Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Harborview Thomasville, LLC Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

951 S Broad St
Thomasville, GA 31792
Phone (229) 228-4130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.edwards.iii.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1558599159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 S BROAD ST",
            "address_2": "THOMASVILLE FAMILY MEDICINE CENTER",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926161",
            "telephone_number": "229-228-4130",
            "fax_number": "229-226-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S BROAD ST",
            "address_2": "THOMASVILLE FAMILY MEDICINE CENTER",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926161",
            "telephone_number": "229-228-4130",
            "fax_number": "229-226-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31723",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "067559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.