John Edry, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

74431 Issued in GA

Practice address

2470 Daniells Bridge Rd
Suite 261
Athens, GA 30606-6187

Phone

(706) 310-1859

Fax

(706) 310-9902

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Neurology

Education

Medical College of Georgia School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Augusta Specialty Hospitalists LLCGroup PAC ID 5496931842, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Augusta, GA, CCN 110177

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Augusta Specialty Hospitalists LLC

  • Neurology Physician
  • Augusta, GA
  • NPI 1164711297
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1952697971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELLS BRIDGE RD",
            "address_2": "SUITE 261",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066187",
            "telephone_number": "706-310-1859",
            "fax_number": "706-310-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Baxter St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063712",
            "country_code": "US",
            "telephone_number": "706-310-1859",
            "fax_number": "706-310-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3623 J Dewey Gray Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096554",
            "country_code": "US",
            "telephone_number": "706-421-6014",
            "fax_number": "855-229-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDRY",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-01-07",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "74431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "address_1": "1230 Baxter St",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306063712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark H Ebell, M.D.
• Lindsey Eberhart, CST
• Kelsey Eberlin, PHARM.D.
• Fredrick Eckhardt, LMFT, LPC
• Jane Elizabeth Edmonds, PH.D.
• Samuel Edusa, MD
• David L Edwards, M.D.
• Zavion Zavar Edwards, M.B.,B.S.
• Chinenye Egwuonwu, MD
• Priscilla E Egyir-Biney, MD

• Neurology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.