Active NPI
Marcus B Edwards, DC
- Chiropractor
- Columbus, GA
National Provider Identifier
1700908340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0007111
- Practice address
- 2205 Rosemont Dr
Columbus, GA 31904-7368 - Phone
- (706) 565-9447
- Fax
- (706) 565-5013
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0007111 | GA | Primary |
Addresses
Primary practice location
2205 Rosemont Dr
Columbus, GA 31904-7368
Mailing address
2205 Rosemont Dr
Columbus, GA 31904-7368
Phone (706) 565-9447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007111 | GA | MD | Chiropractor |
| 007111 | GA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernu 2 Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Cardiology Physician
- Alpharetta, GA
- NPI 1174302194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1700908340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 ROSEMONT DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319047368",
"telephone_number": "706-565-9447",
"fax_number": "706-565-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 ROSEMONT DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319047368",
"telephone_number": "706-565-9447",
"fax_number": "706-565-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MARCUS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "0007111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.