Individual provider Active NPI

Michael Hylton Edging, FNP-BC

  • Family Nurse Practitioner
  • Lackland AFB, TX
National Provider Identifier
1649594813
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21198 Issued in TN
Practice address
1100 Wilford Hall Loop BLDG 4554
Lackland AFB, TX 78236-5638
Phone
(210) 292-6860
NPI assigned
Mar 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP001089 GA
Family Nurse Practitioner 363LF0000X 21198 TN Primary

Addresses

Primary practice location

1100 Wilford Hall Loop BLDG 4554
Lackland AFB, TX 78236-5638

Mailing address

1838 Cotter Rd
Hixson, TN 37343-2523
Phone (281) 221-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210722003022 TN Practitioner - Nurse Practitioner 1456654649 Reassigns benefits to 3 organizations
I20230223001783 GA Practitioner - Nurse Practitioner 1456654649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP001089GAMDFamily Nurse Practitioner
21198TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 14, 2021 Accepting new patients
Galen Medical Group, PC Family CurrentSince May 2, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 14, 2021 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2023 Accepting new patients

Locations

101 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (706) 648-4336

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

2021 Hamilton Place Blvd
Ste G
Chattanooga, TN 37421
Phone (423) 899-6222

419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1720 Gunbarrel Rd
Ste 410
Chattanooga, TN 37421
Phone (423) 497-5359

1494 Stuart Rd NE
Cleveland, TN 37312
Phone (423) 614-0777

455 Chickamauga Dr
Ste 104
Dayton, TN 37321
Phone (423) 570-0252

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

4980 Alpha Ln
Hixson, TN 37343
Phone (423) 702-9218

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

6942 Maynardville Pike
Knoxville, TN 37918
Phone (865) 292-6590

524 Market Dr
Lenoir City, TN 37771
Phone (865) 988-0096

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

9309 Apison Pike
Ooltewah, TN 37363
Phone (423) 551-3562

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1649594813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 COTTER RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432523",
            "telephone_number": "281-221-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGING",
        "first_name": "MICHAEL",
        "middle_name": "HYLTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001089",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland AFB, TX

Sources for this page

Verify at the official NPI Registry.