THOMAS ELLIOT EDWARDS JR. (NPI# 1326029125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326029125 |
Entity Type | Individual |
Full Name | THOMAS ELLIOT EDWARDS JR. |
Credential | M.D. |
Practice Address |
2799 Lawrenceville Hwy Suite 104 Decatur GA 30033-2531 |
Practice Telephone | 6785340200 |
Practice Fax Number | 6785340201 |
Mailing Telephone | 6785340200 |
Mailing Fax Number | 6785340201 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2011-05-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 038743 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000613082D | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124498928 | Thomas Edwards | Social Worker | 8300 Foxtrail Dr, Fayetteville, NC 28311-8948 | 2015-10-06 |
1871881201 | Thomas A Edwards | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H Attn; Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2011-07-19 |
1003097775 | Thomas Lynn Edwards | Psychologist | 16150 Crosstown Blvd Nw, Andover, MN 55304-2111 | 2007-11-21 |
1457486615 | Thomas John Edwards | Chiropractor | 21195 Watertown Rd, Waukesha, WI 53186-1898 | 2007-02-21 |
1669536348 | Thomas C Edwards | Internal Medicine | 334 W 10th Pl, Ste 100, Mesa, AZ 85201-3497 | 2006-12-20 |
1649352410 | Thomas John Edwards | Dentist | 2575 Maysville Pike, Zanesville, OH 43701-8081 | 2006-10-20 |
1770503427 | Thomas Walter Edwards Jr. | Dentist | 10921 Wilshire Blvd Ste 1010, Los Angeles, CA 90024-4003 | 2006-07-19 |
1205879459 | Thomas Lloyd Edwards | Family Medicine | 12844 Joe Harig Rd, San Antonio, FL 33576-0537 | 2006-06-14 |
1952386179 | Thomas E Edwards | Optometrist | 10054 Cooley Rd, Brookville, IN 47012-9511 | 2005-12-09 |
1811987472 | Thomas W Edwards | Anesthesiology | 3636 S Alameda St, Level II, Ste A, Corpus Christi, TX 78411-1723 | 2005-10-25 |
Street Address |
2799 LAWRENCEVILLE HWY SUITE 104 |
City | DECATUR |
State | GA |
Zip Code | 30033-2531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811379746 | Physio | Clinic/Center | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2015-06-27 |
1316296411 | Kathleen M. Raviele, Md PC | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2012-09-05 |
1366707770 | Sara Elizabeth Dale | Physical Therapist | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2012-07-11 |
1659512572 | Alison Wright Maskell | Physical Therapist | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2009-03-24 |
1376755900 | Charles David Matthews | Counselor | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2007-05-04 |
1225191463 | Trudi Bratten Johnston | Psychologist | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2006-12-19 |
1316000557 | Carl William Kissiah Jr. | Psychologist | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2006-12-19 |
1205902822 | Marc L. Herscher | Physical Therapist | 2799 Lawrenceville Hwy, 205, Decatur, GA 30033-2531 | 2006-11-27 |
1508954298 | Kathleen M Raviele | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2006-10-10 |
1942305354 | Dynamic Health Care Systems, Inc. | Hospice Care, Community Based | 2799 Lawrenceville Hwy, Suite 106, Decatur, GA 30033-2517 | 2006-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
1679007835 | Sara Gibson | Specialist | 3260 Wakefield Dr, Decatur, GA 30034-4554 | 2017-04-14 |
1033660345 | Sabra Services LLC | Specialist | 726 County Road 3250, Decatur, TX 76234-4857 | 2016-10-21 |
1154874758 | Erica Nicole West | Specialist | 3446 Newberry Trl, Decatur, GA 30034-3248 | 2016-07-31 |
1639552649 | Supreme Healthcare Ob/gyn LLC | Specialist | 5536 Flat Shoals Pkwy, Suite A, Decatur, GA 30034-5408 | 2015-07-08 |
1427474766 | Russell Clinding | Specialist | 5036 Snapfinger Woods Dr Ste 217, Decatur, GA 30035-4047 | 2014-03-11 |
1598013831 | Total Health Pain Center | Specialist | 4150 Snapfinger Way, Suite 102, Decatur, GA 30035-2711 | 2012-08-16 |
1841420510 | Deborah Tawil | Specialist | 118 Barry St, Decatur, GA 30030-3465 | 2009-07-16 |
1396973665 | Wanda Denise Nelson | Specialist | 3275 Creekway Ln, Decatur, GA 30034-4909 | 2009-06-25 |
1053588731 | David Douglas Shepard | Specialist | 2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132 | 2008-05-13 |
Find all providers in DECATUR |
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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.