Individual provider Active NPI

Patricia Ann Edwards, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1992888945
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183206 Issued in GA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN183206NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.