Bethesda Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30053 Issued in GA

Legal business name

BETHESDA MEDICAL GROUP, LLC

Practice address

4039 Atlanta St Ste 100
Powder Springs, GA 30127-2666

Phone

(770) 328-6398

Fax

(706) 793-9397

NPI assigned

Aug 5, 2015

Last updated

Oct 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Albert Martin Edwards II, MDNPI 1265505531

Title

President

Phone

(770) 241-1326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert M Edwards II, M.D

  • Family Medicine Physician
  • Powder Springs, GA
  • NPI 1265505531
  Medicare reassignment NPD Authorized official
• Patsy Bell Edwards, FNP

  • Family Nurse Practitioner
  • Powder Springs, GA
  • NPI 1770973232
  Medicare reassignment NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1942686548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270005",
            "telephone_number": "770-328-6398",
            "fax_number": "404-443-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 ATLANTA ST STE 100",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272666",
            "telephone_number": "770-328-6398",
            "fax_number": "706-793-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-241-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "30053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnest Terence Benson, LPC
• Tony Bess
• Bethel Gardens LLC
• Bethel Private Home Care Agency (Bethel Agency)
• Bethesda Family Practice Assoc
• Better Speech and Language
• Austin Billings
• Sarah Bingham
• Grace Vanessa Bland
• Bliss Quality Home Care LLC

• Family Medicine Physician in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.