Mark Anthony Edmonds

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2400 Russellville Rd
Genesis East
Hopkinsville, KY 42240-8095

Phone

(270) 887-5697

Fax

(270) 887-5849

NPI assigned

Mar 23, 2016

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1912369406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RUSSELLVILLE RD",
            "address_2": "GENESIS EAST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408095",
            "telephone_number": "270-887-5697",
            "fax_number": "270-887-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Hammond Plz",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422404971",
            "country_code": "US",
            "telephone_number": "270-881-9551",
            "fax_number": "270-885-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna B Dyer, DPH
• Lauren Kyle Eaker, MSN, AGPCNP-BC
• Cody Earl
• Holden East
• John Timothy Ebert, MD
• Mark Joseph Edmunds, D.P.M.
• Lydia Edwards
• Ryneka Edwards
• Jonathan Joseph Eisenhauer, PTA
• Serena Eldridge

• Peer Specialist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.