Individual provider Active NPI

Lauren Moffitt Edwards, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1801190178
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1409 N Highland Ave NE Ste J
Atlanta, GA 30306-3300
Phone
(404) 550-5879
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1409 N Highland Ave NE Ste J
Atlanta, GA 30306-3300

Mailing address

1409 N Highland Ave NE Ste J
Atlanta, GA 30306-3300
Phone (404) 550-5879

Other practice location 1

1549 Clairmont Rd Ste 108
Decatur, GA 30033-4636
Phone (404) 550-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 27, 2024 through Sep 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Psychological Associates Psychologist Past Accepting new patients
Daily DBT LLP Past Accepting new patients

Organizations & group practices 2

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1801190178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N HIGHLAND AVE NE STE J",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063300",
            "telephone_number": "404-550-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N HIGHLAND AVE NE STE J",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063300",
            "telephone_number": "404-550-5879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Clairmont Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300334636",
            "country_code": "US",
            "telephone_number": "404-550-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAUREN",
        "middle_name": "MOFFITT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.