Miranda Y. Edwards, M.D LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049971 Issued in GA

Legal business name

MIRANDA Y. EDWARDS, M.D LLC

Practice address

500 18TH St
Suite a-10
Columbus, GA 31901-1536

Phone

(706) 243-2900

Fax

(706) 243-2903

NPI assigned

Jul 18, 2007

Last updated

Feb 15, 2011By 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

Miss Chandra Lynnette Edwards

Title

Business Manager

Phone

(706) 243-2900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1780884817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4173",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140173",
            "telephone_number": "706-243-2900",
            "fax_number": "706-243-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 18TH ST",
            "address_2": "SUITE A-10",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011536",
            "telephone_number": "706-243-2900",
            "fax_number": "706-243-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA Y. EDWARDS, M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "LYNNETTE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-243-2900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP#",
            "identifier": "GRP6934",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.