ALESHA MICHELLE EDWARDS (NPI# 1023353497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023353497 |
| Entity Type | Individual |
| Full Name | ALESHA MICHELLE EDWARDS |
| Credential | D.P.M. |
| Practice Address |
116 Smith St Tennille GA 31089-1465 |
| Mailing Address |
2251 W Elm St P O Box 371 Wrightsville GA 31096-2017 |
| Practice Telephone | 4788643448 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001216 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | POD001216 | 01 |
| Street Address |
116 SMITH ST |
| City | TENNILLE |
| State | GA |
| Zip Code | 31089-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876390 | Community Health Care Systems, Inc. | Clinic/Center | 116 Smith St, Tennille, GA 31089-1465 | 2006-05-11 |
| 1659787034 | Sharon Massengale | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2014-07-07 |
| 1053467308 | Tanya Yvonne Jones | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2007-01-26 |
| 1306908546 | Bridgett C Bailey | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2006-12-14 |
| 1306920954 | Jane Paulk | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369966 | Tennille Retirement Home, LLC | Assisted Living Facility | 525 N Main St, Tennille, GA 31089-1128 | 2010-06-30 |
| 1437719176 | Yontia Kewanda Brookins | Case Manager/Care Coordinator | 105 E 3rd Ave, Tennille, GA 31089-1340 | 2019-06-15 |
| 1689186223 | Majestic Senior Living Tennille LLC | Assisted Living Facility | 401 Martin Luther King Jr Blvd, Tennille, GA 31089-1438 | 2017-11-03 |
| 1942452065 | Lisa G Lamar | Home Health Aide | 517 Martin Luther King Jr Blvd, Tennille, GA 31089-1440 | 2008-10-21 |
| 1134694094 | Debbie Pierce Price | Counselor | 12182 Ga Highway 68 S, Tennille, GA 31089-2971 | 2018-10-08 |
| 1871845040 | Jessica Marie Womble | Driver | 731 Grady Mertz Rd, Tennille, GA 31089-3215 | 2012-10-11 |
| 1487649158 | April Babb Crisp | Counselor | 140 Jerry Brantley Ln, Tennille, GA 31089-3421 | 2005-09-19 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1457987018 | Wende Sumner | Behavior Technician | 732 Old Watermelon Rd, Tennille, GA 31089-5544 | 2020-03-16 |
| Find all providers in zip 31089 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.