MR. JUSTIN G. EDWARDS (NPI# 1184023400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184023400 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN G. EDWARDS |
| Credential | PA |
| Practice Address |
979 E 3rd St Ste C225 Chattanooga TN 37403-3314 |
| Practice Telephone | 4237785995 |
| Practice Fax Number | 4237783445 |
| Mailing Telephone | 4237785995 |
| Mailing Fax Number | 4237783445 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2874 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE | PA2874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851928485 | Justin Wayne Edwards | Student in an Organized Health Care Education/Training Program | 9260 W Sunset Rd Ste 110, Las Vegas, NV 89148-4903 | 2020-03-24 |
| 1730657388 | Justin Robert Edwards | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2018-11-12 |
| 1982072229 | Justin Edwards | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2015-09-03 |
| 1699906255 | Justin S Edwards | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2009-07-30 |
| 1144429630 | Justin Reid Edwards | Family Medicine | 101 Heart Drive, Ecu Physicians Family Practice Center, Greenville, NC 27834-4300 | 2007-07-13 |
| Street Address |
979 E 3RD ST STE C225 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033195284 | Julie Elizabeth Adams | Orthopaedic Surgery | 979 E 3rd St Ste C225, Chattanooga, TN 37403-3314 | 2005-12-20 |
| 1265714299 | Joshua Porter | Physician Assistant | 979 E 3rd St Ste C225, Chattanooga, TN 37403-3314 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336545664 | Eric Henderson | Physician Assistant | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2014-11-13 |
| 1689970030 | James Ian Farrelly | Physician Assistant | 2108 E 3rd St, Chattanooga, TN 37404-2600 | 2011-02-02 |
| 1699907527 | Cimaron R Blalock | Physician Assistant | 975 East Third Street, Chattanooga, TN 37403 | 2009-08-11 |
| 1548348980 | Ryan S Gilliand | Physician Assistant | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1609308246 | Robert Bryan Whisenhunt | Physician Assistant | Po Box 205, Tullahoma, TN 37388-0205 | 2017-04-02 |
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| 1912296468 | Richard Terry Washington Jr. | Physician Assistant | 5108 Singing Hills Dr, Antioch, TN 37013-5694 | 2011-04-05 |
| 1578889549 | Caryn Louise Mohr | Physician Assistant | 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 | 2010-04-14 |
| 1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on MR. JUSTIN G. EDWARDS.
| 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.