Jama Gail Edwards MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01036111 Issued in IN

Legal business name

JAMA GAIL EDWARDS MD PC

Practice address

1555 W Oak St Ste 100-2
Zionsville, IN 46077-1896

Phone

(317) 873-8065

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Jama Gail Edwards, MD

Title

President

Phone

(317) 873-8065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1790028173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460770645",
            "telephone_number": "317-873-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W OAK ST STE 100-2",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771896",
            "telephone_number": "317-873-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Brendon Way",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771961",
            "country_code": "US",
            "telephone_number": "317-873-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMA GAIL EDWARDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-873-8065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01036111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.