DR. MICHAEL LEE EDMONDSON


Address: 1006 Greenfield Dr, Tifton, GA 31794-3794
Phone: 2293828822

DR. MICHAEL LEE EDMONDSON (NPI# 1326056797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326056797
Entity Type Individual
Full Name DR. MICHAEL LEE EDMONDSON
Credential M.D.
Practice Address 1006 Greenfield Dr
Tifton
GA 31794-3794
Mailing Address Po Box 1189
Tifton
GA 31793-1189
Practice Telephone 2293828822
Practice Fax Number 2293870377
Mailing Telephone 2293828822
Mailing Fax Number 2293870377
Enumeration Date 2006-08-03
Last Update Date 2013-08-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 022542 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00223462C 05

Other Providers MICHAEL EDMONDSON

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1508105693 Michael Edmondson Behavioral Analyst 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 2013-02-08
1508160839 Michael Scott Edmondson Pharmacist 1245 Nw 4th St, Redmond, OR 97756-1680 2010-12-29
1992983241 Michael John Edmondson Physical Therapist 2165 Medical Park Dr, Hickory, NC 28602-8809 2008-02-07

Office Location

Street Address 1006 GREENFIELD DR
City TIFTON
State GA
Zip Code 31794-3794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346258704 Darrell W Jordan Obstetrics & Gynecology 1006 Greenfield Dr, Tifton, GA 31794-3794 2006-08-03
1588084529 United Obstetrics & Gynecology Obstetrics & Gynecology 1006 Greenfield Dr, Tifton, GA 31794-3794 2014-04-17
1295963759 Geri E Justice Obstetrics & Gynecology 1006 Greenfield Dr, Tifton, GA 31794-3794 2009-06-23
1649384520 South Georgia Physicians for Women Obstetrics & Gynecology 1006 Greenfield Dr, Tifton, GA 31794-3794 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234043 Deloris Lunsford Licensed Practical Nurse 903 Washington St., Tifton, GA 31794 2020-01-17
1194383075 William Jordan Kinnett Registered Nurse 1205 Tift Ave N, Tifton, GA 31794 2019-06-05
1598321200 Courtlyn Christanna Fussell Pharmacist 2201 Hwy 41 N, Tifton, GA 31794 2019-05-17
1376027722 Martha Gibbs Nurse Practitioner Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 2018-09-21
1427541044 Rebekah F Cottle Speech-Language Pathologist 2227 Highway 41 North, Tifton, GA 31794 2018-06-08
1790280857 Tift Regional Health System Inc Ophthalmology 1803 Old Ocilla Road, Tifton, GA 31794 2018-03-29
1568975431 Skyler Clark Pharmacist 2201 North 12th Street, Tifton, GA 31794 2017-11-14
1538606306 Imagine Peace Counseling LLC Counselor 223 E 2nd Street, Suite B, Tifton, GA 31794 2017-01-31
1073056347 Jessica Tumbling Contractor 219 Savannah Way, Tifton, GA 31794 2016-11-18
1992159503 Joseph Thomas Seagraves Jr. Nurse Practitioner 901 East 18th Street, Tifton, GA 31794 2016-04-20
Find all providers in zip 31794

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275768087 Rana Abdul-khalek Obstetrics & Gynecology 39 Kent Rd Ste 1, Tifton, GA 31794-1697 2009-05-22
1871752907 Ana Margarita Hernandez Silen Obstetrics & Gynecology 1948 Old Ocilla Road, Tifton, GA 31794-1644 2008-06-04
1649281064 James Andrew Howard Obstetrics & Gynecology 1948 Old Ocilla Rd, Tifton, GA 31794-1644 2006-08-10
1346258704 Darrell W Jordan Obstetrics & Gynecology 1006 Greenfield Dr, Tifton, GA 31794-3794 2006-08-03
1891718870 Shannon L. Price Obstetrics & Gynecology 39 Kent Road, Tifton, GA 31794 2006-07-25
1376589556 Sandra Gail Brickman Obstetrics & Gynecology 1806 Lee Aveune, Tifton, GA 31794 2006-06-22
1679514319 Bridgett Lowe Asbury Obstetrics & Gynecology 1806 Lee Ave, Tifton, GA 31794-3639 2006-06-10
1497738561 David W Adcock II Obstetrics & Gynecology 1623 Old Ocilla Rd, Tifton, GA 31794-4173 2005-11-22
1811397060 Irwin County Hospital Obstetrics & Gynecology 72 Kent Rd, Tifton, GA 31794-1694 2014-08-25
1477973410 United Obstetrics & Gynecology Obstetrics & Gynecology 1806 Lee Ave, Tifton, GA 31794-3639 2014-04-17
Find all providers in TIFTON

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City TIFTON
Zip Code 31794

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Dataset Information

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.

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