Individual provider Active NPI

Patsy Bell Edwards, FNP

  • Family Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1770973232
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN06891 Issued in GA
Practice address
4039 Atlanta St Ste 100
Powder Springs, GA 30127-2632
Phone
(770) 301-0846
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN06891 GA Primary

Addresses

Primary practice location

4039 Atlanta St Ste 100
Powder Springs, GA 30127-2632

Mailing address

4519 Flowering BR
Powder Springs, GA 30127-9510
Phone (770) 301-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160106001563 GA Practitioner - Nurse Practitioner 5597920686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN06891GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Medical Group, LLC CurrentSince Nov 27, 2015 Accepting new patients

Locations

9280 Highway 5
Ste D
Douglasville, GA 30134
Phone (770) 328-6398

4039 Atlanta St
Ste 100
Powder Springs, GA 30127
Phone (770) 241-1326

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1770973232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 FLOWERING BR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301279510",
            "telephone_number": "770-301-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 ATLANTA ST STE 100",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272632",
            "telephone_number": "770-301-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATSY",
        "middle_name": "BELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN06891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.