NPIMap

Individual provider Active NPI

Jonathan D Edwards, M.D.

  • Family Medicine Physician
  • Athens, TX
National Provider Identifier
1720097298
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9906 Issued in TX
Practice address
212 W Cayuga Dr
Athens, TX 75751-3204
Phone
(903) 675-5742
Fax
(903) 904-5234
NPI assigned
Aug 5, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H9906 TX Primary

Addresses

Primary practice location

212 W Cayuga Dr
Athens, TX 75751-3204

Mailing address

212 W Cayuga Dr
Athens, TX 75751-3204
Phone (903) 675-5742

Other identifiers 1

IdentifierTypeStateIssuer
120530402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080522000279 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6800965492 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Athens, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Texas a & M University System, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Cedar Creek Clinic LLCGroup PAC ID 4880811108, 8 clinicians

Practice addresses (Care Compare)

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

212 W Cayuga Dr
Athens, TX 75751-3204
Phone (903) 675-5742

2418 W Main St
Gun Barrel City, TX 75156-3638
Phone (903) 713-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Creek Clinic, LLC CurrentSince Dec 2, 2017 Accepting new patients
Etmc Physician Group Inc. CurrentSince Apr 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Apr 1, 2024 Accepting new patients
Athens Hospital, LLC Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Jonathan D. Edwards, M.D. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2418 W Main St
Gun Barrel City, TX 75156
Phone (903) 713-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGGCD
  • Direct secure messaging: jedwards355398@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at AthensAthens, TX, CCN 455834 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Mar 1, 2023
Park Highland Nursing & Rehabilitation CenterAthens, TX, CCN 675460 Skilled nursing facility Adp of the SNF Apr 13, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 9

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720097298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W CAYUGA DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513204",
            "telephone_number": "903-675-5742",
            "fax_number": "903-904-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W CAYUGA DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513204",
            "telephone_number": "903-675-5742",
            "fax_number": "903-904-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120530402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.