JUSTIN R EDMONDSON (NPI# 1609107846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609107846 |
| Entity Type | Individual |
| Full Name | JUSTIN R EDMONDSON |
| Practice Address |
2350 Schillinger Rd S Suite A Mobile AL 36695-4177 |
| Mailing Address |
Po Box 7627 Mobile AL 36670-0627 |
| Practice Telephone | 2516330123 |
| Practice Fax Number | 2516330123 |
| Mailing Telephone | 2516337211 |
| Mailing Fax Number | 2514106079 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.671 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2350 SCHILLINGER RD S SUITE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801809124 | Patrick Conrad Mcguire II | Internal Medicine | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2006-08-15 |
| 1417313461 | Christa Quinley | Nurse Practitioner | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2016-01-06 |
| 1922477884 | Amber Simmons | Physician Assistant | 2350 Schillinger Rd S, Mobile, AL 36695-4177 | 2015-09-22 |
| 1255700209 | Nancy Webster | Physician Assistant | 2350 Schillinger Rd S, Mobile, AL 36695-4177 | 2015-09-21 |
| 1497157465 | Jenny Carney Tompkins | Physician Assistant | 2350 Schillinger Rd S, Mobile, AL 36695-4177 | 2014-09-22 |
| 1689000598 | Scott Edward Morrison | Physician Assistant | 2350 Schillinger Rd S, Ste A, Mobile, AL 36695-4177 | 2013-09-24 |
| 1497007009 | Sarah Crews Sparks Lochren | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2012-10-05 |
| 1164771176 | Amanda Pouncey | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2012-09-05 |
| 1891091849 | Laura Elizabeth Morrison | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2011-02-08 |
| 1194026815 | Harmony Brogden Paschal | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2010-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1831191113 | Oliver Laurence Ezell | Physician Assistant | 1504 Springhill Ave, Ste 1365, Mobile, AL 36604-3207 | 2005-06-01 |
| 1144749821 | Angela Michele Martinsen | Physician Assistant | 75 S University Blvd, Ucom 6000b, Mobile, AL 36608 | 2017-09-14 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1396142717 | Casey N Byrnes | Physician Assistant | 4638 Bit and Spur Rd, Mobile, AL 36608-2646 | 2014-12-01 |
| 1194026815 | Harmony Brogden Paschal | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2010-11-11 |
| 1861792863 | Brianne Elizabeth Kestler | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2010-10-25 |
| 1699083501 | Dana L Culpepper | Physician Assistant | 4310 Old Shell Rd, Suite D, Mobile, AL 36608-2049 | 2010-09-14 |
| Find all providers in MOBILE | ||||
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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.