Individual provider Active NPI

Edward M Flores, M.D.

  • Pulmonary Disease Physician
  • Conroe, TX
National Provider Identifier
1912922386
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G5049 Issued in TX
Practice address
110 Commercial Cir
Conroe, TX 77304-2204
Phone
(936) 756-2488
Fax
(936) 756-3686
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 89017 GA
Pulmonary Disease Physician 207RP1001X G5049 TX Primary

Addresses

Primary practice location

110 Commercial Cir
Conroe, TX 77304-2204

Mailing address

110 Commercial Cir
Conroe, TX 77304-2204
Phone (936) 756-2488

Other practice location 1

119 W Hill St
Thomasville, GA 31792-2803
Phone (229) 225-1900

Other identifiers 1

IdentifierTypeStateIssuer
122451103MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729003479 GA Practitioner - Pulmonary Disease 8224095203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

119 W Hill St
Thomasville, GA 31792-6618
Phone (770) 304-2220

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105
  • Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jun 29, 2021 Accepting new patients
Tift Regional Health System, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 29, 2021 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Feb 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Oct 15, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

119 W Hill St
Thomasville, GA 31792
Phone (229) 225-1900

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: edward.flores.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1912922386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COMMERCIAL CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042204",
            "telephone_number": "936-756-2488",
            "fax_number": "936-756-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COMMERCIAL CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042204",
            "telephone_number": "936-756-2488",
            "fax_number": "936-756-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W Hill St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317922803",
            "country_code": "US",
            "telephone_number": "229-225-1900",
            "fax_number": "229-225-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "89017",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "G5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122451103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.