Adam Edenfield, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014161 Issued in GA

Practice address

1050 McDonough Rd
Jackson, GA 30233-1524

Phone

(770) 775-7865

NPI assigned

Aug 8, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624
  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1992350607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331524",
            "telephone_number": "770-775-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331524",
            "telephone_number": "770-775-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicklyn Lunick Datilus, PHARMD
• Erin Downing, SLP
• Dr. Robert H. Pinckney
• Young Dreaden, NP
• Dream Catcher Farm
• Cara Brianne Engel, RBT
• Sabrina Evans-Johnson, FNP-C
• John Sanford Evans, MD
• Kiana Olivia Evans
• Eye Can See 3 of Jackson LLC

• All providers in Jackson, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.