Active NPI
Patricia Ann Edwards, FNP-C
- Family Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1992888945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN183206
- Practice address
- 1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112 - Phone
- (678) 829-1060
- Fax
- (678) 829-1099
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN183206NP | GA | |
| Family Nurse Practitioner | 363LF0000X | RN183206 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Mailing address
1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (404) 350-9853
Other practice location 1
1240 Eagles Landing Pkwy Ste 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500
Other practice location 2
775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN183206NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992888945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW STE 800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303180922",
"telephone_number": "404-350-9853",
"fax_number": "404-477-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 4200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142112",
"telephone_number": "678-829-1060",
"fax_number": "678-829-1099"
}
],
"practiceLocations": [
{
"address_1": "1240 Eagles Landing Pkwy Ste 260",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302815173",
"country_code": "US",
"telephone_number": "678-854-9500",
"fax_number": "678-854-9502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 Poplar Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302658303",
"country_code": "US",
"telephone_number": "770-251-2590",
"fax_number": "770-251-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN183206NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN183206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.