Edge to Edge Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDGE TO EDGE CENTER LLC

Practice address

1145 Zonolite Rd NE Ste 1
Atlanta, GA 30306-2017

Phone

(404) 220-9919

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Christine Kovacevich

Title

Office Manager

Phone

(404) 220-9919

Specialties & licenses 1

Addresses

Other names 1

• Edge to Edge Center Doing business as

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1962067488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ZONOLITE RD NE STE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062017",
            "telephone_number": "404-220-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ZONOLITE RD NE STE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062017",
            "telephone_number": "404-220-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE TO EDGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "KOVACEVICH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-220-9919"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edge to Edge Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eden'S Home of Care, LLC
• Jane Jones Edens, RN
• Angela Eder
• Alyssa Jade Edgar
• Edge Medical Services
• Charles Edge III, NP
• Edgewood Dental Center
• Edgewood Medical Center Inc
• Edgewood Smiles Dentistry, PC
• Constance Ediale, MD

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.