JEFFERSON EDGINGTON (NPI# 1619391265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619391265 |
| Entity Type | Individual |
| Full Name | JEFFERSON EDGINGTON |
| Credential | NP-C |
| Practice Address |
1412 Elba Hwy Troy AL 36079-6020 |
| Mailing Address |
1414 Elba Hwy Troy AL 36079-6020 |
| Practice Telephone | 3345668822 |
| Practice Fax Number | 3346706723 |
| Mailing Telephone | 3346706726 |
| Mailing Fax Number | 3346706731 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2017-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-097146 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 157918 | 05 | |
| AL | STATE LICENSE | 1-097146 | 01 |
| Street Address |
1412 ELBA HWY |
| City | TROY |
| State | AL |
| Zip Code | 36079-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829643 | Griffith Guerry Walters | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-07-07 |
| 1295198687 | Amy E Brown | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-6020 | 2016-04-01 |
| 1902288731 | Troy Pharmacy, LLC | Pharmacy | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-06-29 |
| 1730568171 | Dana Baldo-downs Wade | Social Worker | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-05-19 |
| 1811251010 | Brandi Bowden Dowling | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2012-07-02 |
| 1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
| 1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1164432308 | Robert Lee Gilliam | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
| 1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
| 1255622593 | Iveri Guri Zhvania | Pharmacist | 115 Southland Vlg, Troy, AL 36079-3044 | 2011-04-20 |
| 1346359742 | Harco Inc | Durable Medical Equipment & Medical Supplies | 115 Southland Vlg, Troy, AL 36079-3044 | 2006-08-30 |
| 1609214949 | Trina Gould Thompson | Audiologist | 419 Jane Rd, Apt. 2, Troy, AL 36079-3052 | 2013-06-09 |
| 1487622932 | Shanna F May | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2006-03-10 |
| 1568088722 | Giselle Pacheco Childers | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2020-06-23 |
| 1003301664 | Haley Henson | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2018-06-26 |
| Find all providers in zip 36079 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998777 | Nila Ellison | Nurse Practitioner | 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 | 2020-10-04 |
| 1689286262 | Kayla Dawn Metz | Nurse Practitioner | 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 | 2020-08-17 |
| 1801421953 | Veronica Talevska | Nurse Practitioner | 1054 Henrietta Ave, Troy, MI 48083-1908 | 2020-03-10 |
| 1245878636 | Kim S Hussey | Nurse Practitioner | 989 Elba Hwy, Troy, AL 36079-6050 | 2019-12-16 |
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1740831528 | Monica Hallac | Nurse Practitioner | 3630 Old Creek Rd, Troy, MI 48084-1658 | 2019-09-24 |
| 1053961482 | Vian Murad | Nurse Practitioner | 752 Amberwood Dr, Troy, MI 48085-1676 | 2019-09-17 |
| 1245886100 | Sheila Kay Mitchell | Nurse Practitioner | 101 Hunter Mountain Parkway, Troy, AL 36081-3608 | 2019-08-15 |
| 1427510262 | Allison Michelle Harper | Nurse Practitioner | 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 | 2019-04-02 |
| 1669940409 | Astasia C Goodenough | Nurse Practitioner | 5680 Wright Dr, Troy, MI 48098-2917 | 2018-11-09 |
| Find all providers in TROY | ||||
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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.