Active NPI
James Henry Edwards, M.D.
- Child & Adolescent Psychiatry Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 32627
- Practice address
- 1040 Longfield CT
Montgomery, AL 36117-8055 - Phone
- (334) 288-9009
- Fax
- (334) 288-9497
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 32627 | CT | Primary |
Addresses
Primary practice location
1040 Longfield CT
Montgomery, AL 36117-8055
Mailing address
1040 Longfield CT
Montgomery, AL 36117-8055
Phone (334) 288-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32627 | CT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Waterbury Hospital | Past | Accepting new patients | |
| The Charlotte Hungerford Hospital | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients | |
| Psychotherapy Associates, LLC | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1040 Longfield Ct
Montgomery, AL 36117
Phone (334) 288-9009
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba SAMC- Profee Billing
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Marriage & Family Therapist
- Gulf Shores, AL
- NPI 1417472895
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
dba Southwest Connecticut Mental Health System
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1184615114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1639152879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 LONGFIELD CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178055",
"telephone_number": "334-288-9009",
"fax_number": "334-288-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 LONGFIELD CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178055",
"telephone_number": "334-288-9009",
"fax_number": "334-288-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JAMES",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "32627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.