NPIMap

Individual provider Active NPI

Marjorie Antenor Edwards, M.D.

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1902038375
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014015316 Issued in MO
Practice address
1615 W Persimmon St
Rogers, AR 72756-3359
Phone
(479) 636-7192
Fax
(479) 631-8212
NPI assigned
Aug 18, 2009
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2014015316 MO
Emergency Medicine Physician 207P00000X E-7010 AR
Family Medicine Physician 207Q00000X E-7010 AR
Family Medicine Physician 207Q00000X 2014015316 MO Primary

Addresses

Primary practice location

1615 W Persimmon St
Rogers, AR 72756-3359

Mailing address

1615 W Persimmon St
Rogers, AR 72756-3359
Phone (479) 636-7192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120316000696 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8729247374 Reassigns benefits to 7 organizations
I20160526000088 MO Practitioner - Family PracticePractitioner - Emergency Medicine 8729247374 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen of Arkansas LLCGroup PAC ID 3779076591, 13 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 754-5454

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Nov 30, 2020 Accepting new patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Mar 3, 2014 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jul 21, 2014 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2014 Accepting new patients
Freeman Neosho Hospital CurrentSince Apr 27, 2021 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Mar 3, 2014 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 24, 2023 Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 2, 2024 Accepting new patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Apr 27, 2021 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Jul 21, 2014 Accepting new patients
Ripley Emergency Group, LLC Emergency Medicine CurrentSince Sep 7, 2020 Accepting new patients
Nevada City Hospital CurrentSince May 30, 2024 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Apr 27, 2021 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Apr 27, 2021 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
Nevada City Hospital CurrentSince May 30, 2024 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Newgen of Arkansas LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Bentonville Radiology Consultants, PLLC Past Accepting new patients
Benton Emergency Group LLC Emergency Medicine Past Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1902038375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563359",
            "telephone_number": "479-636-7192",
            "fax_number": "479-631-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563359",
            "telephone_number": "479-636-7192",
            "fax_number": "479-631-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARJORIE",
        "middle_name": "ANTENOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2014015316",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-7010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014015316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.