DR. CHAD RANDALL EDWARDS (NPI# 1649390139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649390139 |
| Entity Type | Individual |
| Full Name | DR. CHAD RANDALL EDWARDS |
| Credential | MD |
| Practice Address |
1504 N Thornton Ave Ste 101 Dalton GA 30720-8394 |
| Practice Telephone | 7062759000 |
| Practice Fax Number | 7062263532 |
| Mailing Telephone | 7062759000 |
| Mailing Fax Number | 7062263532 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 060825 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 20407 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790833481 | Chad P Edwards | Emergency Medicine | 12142 S Yukon Ave, Glenpool, OK 74033 | 2007-01-08 |
| 1063436079 | Chad J Edwards | Optometrist | 12455 E 100th St N # 110, Owasso, OK 74055-4600 | 2006-07-26 |
| 1083605000 | Chad Oliver Edwards | Dentist | 3046 Columbia Ave, Ste. 201, Franklin, TN 37064-7429 | 2005-10-31 |
| 1649631946 | Chad Edwards | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2016-03-14 |
| 1891186680 | Chad Aaron Edwards | Orthopaedic Surgery | 1775 Browning Way Ste 201, Elko, NV 89801-8340 | 2015-02-15 |
| 1487924171 | Chad Robert Edwards | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2012-01-11 |
| 1255654216 | Chad O Edwards | Dietitian, Registered | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2010-03-04 |
| 1568652337 | Chad A. Edwards | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2007-07-27 |
| Street Address |
1504 N THORNTON AVE STE 101 |
| City | DALTON |
| State | GA |
| Zip Code | 30720-8394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801542 | North Georgia Surgical Associates | Surgery | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2006-09-14 |
| 1891776381 | Robert Alexander Burns | Surgery | 1109 Burleyson Dr, Suite 102, Dalton, GA 30720-2510 | 2005-11-10 |
| 1013998905 | Rodovaldo Rodriguez Jr. | Surgery | 301 Point North Pl, Dalton, GA 30720-2645 | 2005-11-08 |
| 1346221223 | William H Lumpkin | Surgery | 1504 N Thornton Ave, Suite 103b, Dalton, GA 30720 | 2005-11-08 |
| 1669811576 | James Kennith Gable | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2013-06-25 |
| 1700157880 | North Georgia Surgical Group LLC | Surgery | 1504 N Thornton Ave, Suite 101b, Dalton, GA 30720-8394 | 2012-01-20 |
| 1811005143 | Dalton Surgical Group PC | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2006-08-28 |
| 1407875032 | Michael Hartley | Surgery | 1109 Burleyson Rd, Suite 202, Dalton, GA 30720-3094 | 2006-07-18 |
| 1649218678 | Stefan H Fromm | Surgery | 1504 Broadrick Dr, Dalton, GA 30720-3011 | 2006-06-03 |
| 1184676520 | Steven W Paynter | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2006-05-16 |
| Find all providers in DALTON | ||||
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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.