JAMES BENNETT EDWARDS (NPI# 1720072317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720072317 |
Entity Type | Individual |
Full Name | JAMES BENNETT EDWARDS |
Credential | M.D. |
Practice Address |
503 Eisenhower Dr Savannah GA 31406 |
Mailing Address |
210 E Derenne Ave Attn: Provider Enrollment Savannah GA 31405-6736 |
Practice Telephone | 9123556255 |
Practice Fax Number | 9126445260 |
Mailing Telephone | 9126445300 |
Mailing Fax Number | 9126445260 |
Enumeration Date | 2005-09-09 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
041784 | GA | Allopathic & Osteopathic Physicians |
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
041784 | GA | Allopathic & Osteopathic Physicians |
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
041784 | GA | Allopathic & Osteopathic Physicians |
N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
041784 | GA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
041784 | GA | Allopathic & Osteopathic Physicians |
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
041784 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RAILROAD MEDICARE-SCI | P00334794 | 01 |
SC | G41784-SR | 05 | |
GA | BCBS GA | 010571 | 01 |
GA | 000702039 | 05 | |
GA | RR MCARE-OIS | P00857151 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
210 E Derenne Ave, Savannah, GA 314056736 | 9126445300 | 9126445241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336613058 | James H Edwards IIi | Nurse Practitioner | 21630 Longs Peak Ln, Parker, CO 80138-8311 | 2019-01-16 |
1568863439 | James Frederick Edwards | Specialist | 24230 Summit Woods Dr, Los Gatos, CA 95033-9294 | 2014-09-10 |
1952616864 | James P Edwards | Pharmacist | 2936 Palm Vista Dr, Kenner, LA 70065-1548 | 2010-08-16 |
1609190545 | James Rodney Edwards | Skilled Nursing Facility | 140 Harris Rd, Somerset, KY 42503-4916 | 2010-03-22 |
1821231127 | James Edwards | Preventive Medicine | 2341 S State Road 39, La Porte, IN 46350-8128 | 2009-04-16 |
1669623120 | James Edward Edwards | General Practice | 2727 N Chelton Rd, Colorado Springs, CO 80909-1212 | 2008-10-02 |
1487800223 | James William Edwards | Social Worker | 322 Harbour Way Ste 20, Richmond, CA 94801-3142 | 2008-08-12 |
1538286034 | James Russell Edwards | Physical Therapist | 4101 Raeford Rd Unit 100b, Fayetteville, NC 28304-4126 | 2007-03-22 |
1649395773 | James Ray Edwards | Chiropractor | 4530 Montana Ave, Suite D, El Paso, TX 79903-4700 | 2007-03-20 |
1437249851 | James Lloyd Edwards | Counselor | 616 Holly St, Columbia, SC 29205-2514 | 2006-10-14 |
Street Address |
503 EISENHOWER DR |
City | SAVANNAH |
State | GA |
Zip Code | 31406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669866778 | Optim Orthopedics, LLC | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2015-03-26 |
1154765600 | Jacob Michael Feldhaus | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2013-04-25 |
1114263456 | Coastal Imaging Solutions LLC | Clinic/Center | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2012-12-13 |
1871846477 | Tattnall Hospital Company, LLC | Radiology | 503 Eisenhower Dr, Savannah, GA 31406 | 2012-10-19 |
1154653152 | Ois Metropolitan Imaging LLC | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2010-02-02 |
1417177148 | Calvin Langston Toure Barnes | Radiology | 503 Eisenhower Dr, Savannah, GA 31406 | 2007-04-26 |
1013060904 | Janica Walden Peavey | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2007-01-22 |
1154421279 | Carl William Decker | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-09-25 |
1457398992 | Breast Imaging of Savannah | Clinic/Center | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-06-01 |
1073508735 | Kerri Lynn Baden | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2005-09-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811361108 | York Neurology Group | Radiology | 35 Barnard St, Suite 300, Savannah, GA 31401-2500 | 2015-11-24 |
1083949267 | James A Long | Radiology | 503 Eisenhower Drive, Savannah, GA 31406 | 2009-10-06 |
1518064237 | Diagnostic Systems Inc | Radiology | 4815 Waters Ave, Savannah, GA 31404 | 2006-09-17 |
1285663443 | Chatham Radiologists, Pa | Radiology | 5354 Reynolds St., Ste. 102, Savannah, GA 31405-6008 | 2006-07-01 |
1184650566 | Dale Nance | Radiology | 340 Eisenhower Dr Ste 1305, Savannah, GA 31406-1607 | 2006-06-25 |
1952368672 | James Henry Algeo Jr. | Radiology | 935 Wayne Rd, Savannah, TN 38372-1904 | 2006-04-27 |
1356326557 | William Gordon Greene | Radiology | 529 Stephenson Ave, Suite 5, Savannah, GA 31405-5984 | 2005-12-09 |
1205834066 | Lois Elizabeth Curry | Radiology | 4 Monastery Rd W, Savannah, GA 31411-1714 | 2005-07-14 |
1992708796 | Sanford Victor Berens | Radiology | 6 Wheeler Ct, Savannah, GA 31405-5719 | 2005-05-24 |
1295738086 | Pamela Boland | Radiology | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2005-05-24 |
Find all providers in SAVANNAH |
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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.