Michael Earnest Edwards, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

18382 Issued in MS

Practice address

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4600

Phone

(662) 841-7880

Fax

(662) 821-1899

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Vein Center

  • Vascular & Interventional Radiology Physician
  • Corinth, MS
  • NPI 1245306547
  NPD (past) Authorized official
• Imaging Associates of North Mississippi Magnolia PLLC

  • Diagnostic Radiology Physician
  • Corinth, MS
  • NPI 1578512919
  NPD (past)
• Imaging Center at Gloster Creek Village PLLC

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1417907536
  NPD (past)
• Tennessee Oncology, PLLC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1326503749
  NPD (past)
• Tennessee Oncology,PLLC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1043310428
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902828064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-841-7880",
            "fax_number": "662-821-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-841-7880",
            "fax_number": "662-821-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "EARNEST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "18382",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00012287",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000019591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123835",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ed Holliday, D.M.D., Inc.
• Katherine E Ederer, PMHNP
• Lindsay Claire Edmondson, NURSE PRACTITIONER
• Marshall Gray Edmondson, M.D.
• William R Edmonson, MD
• Sumbul Ejaz, MD
• April Teresa Elam
• Abdullah Sufian Elassouli, DDS
• Elderscript Services LLC
• Anthony Ray Eldridge, MD

• Diagnostic Radiology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.