Edwards Premier Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDWARDS PREMIER HEALTHCARE LLC

Practice address

1201 North Main Avenue
Erwin, TN 37650

Phone

(423) 220-0625

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katrina Edwards, APRN

Title

Owner

Phone

(423) 220-0625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1730725706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NORTH MAIN AVENUE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-220-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTH MAIN AVENUE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-220-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS PREMIER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-220-0625",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewel Renea Davis
• Harold Lance Debord, PA
• Hannah Dougherty, OTD
• Dr Joe Chambers
• Carla Denise Duncan, APRN
• Aimee Elliott, NP
• Erwin Dental Associates, P.C.
• Erwin Dental, P.L.L.C.
• Erwin Eye Care PLLC
• Erwin Health Care Associates LTD (Erwin Health Care Center)

• Family Medicine Physician in Erwin, TN
• Providers in Erwin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.