Marcella Edwards Ford, NP-C
Individual provider Active NPI Family Nurse Practitioner · Demorest, GA
NPI 1942564844 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1942564844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN089263 (GA)
- Practice address
- 396 Historic Highway 441 N.
Demorest, GA 30535 - Phone
- (706) 754-4348
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Richmond Gastroenterology Associates, Inc.
Practice addresses (Care Compare)
223 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone (804) 330-4021
Hospital & facility affiliations
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Marys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427001447 | VA | Practitioner - Nurse Practitioner | 8729234604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN089263 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Gastroenterology Associates, Inc. | Current |
Accepting new patients |
Locations
8415 N Run Medical Dr
Mechanicsville, VA 23116
Phone (804) 559-6194
223 Wadsworth Dr
North Chesterfield, VA 23236
165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146
16011 Kairos Rd
Ste 300
South Chesterfield, VA 23834
Phone (804) 520-5223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN089263 | GA | Yes |
Addresses
Primary practice location
396 Historic Highway 441 N.
Demorest, GA 30535
Mailing address
16011 Kairos Rd
Ste 300
South Chesterfield, VA 23834-5207
Phone (804) 330-4021
Other practice location 1
2324 Limestone Overlook
Gainesville, GA 30501-7443
Phone (770) 536-8109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003125831B | Medicaid | GA |
Other providers in Demorest, GA
- Tina Nicole Feldman
- Mark H. Ferdos
- Tracy A Ferguson
- Sloan Fletcher
- Jessica J Flow-Bagwell
- Donald L Fordham
- Jeremy Fouts
- Fresenius Medical Care Kidney Healthcare, LLC
- Andrea J Fuller
- G-1 Healthcare LLC
All providers in Demorest, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.