MARK DOUGLAS EDGE (NPI# 1750372777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750372777 |
| Entity Type | Individual |
| Full Name | MARK DOUGLAS EDGE |
| Credential | MD |
| Practice Address |
150 N Park Trl Ste B Stockbridge GA 30281 |
| Mailing Address |
1355 Peachtree St Ne Ste 1600 Atlanta GA 30309-3276 |
| Practice Telephone | 7705070909 |
| Practice Fax Number | 7705071919 |
| Mailing Telephone | 6782237774 |
| Mailing Fax Number | 6782237799 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
48041 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 859232130A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7402 Davidson Pkwy S, Stockbridge, GA 302814175 | 7705070909 | 7705071919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831634542 | Mark Tyler Edge | Chiropractor | 1229 Dinah Shore Blvd, Winchester, TN 37398-1135 | 2017-01-04 |
| 1003899766 | Mark Thomas Edge | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | 2005-11-26 |
| Street Address |
150 N PARK TRL STE B |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715813 | Christopher Antonious Brown | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2005-10-25 |
| 1861009375 | Amielle Lydia Burch | Physician Assistant | 150 N Park Trl Ste B, Stockbridge, GA 30281-7372 | 2020-09-29 |
| 1750811691 | Amelia Mccane Harvey | Family Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281-7372 | 2017-06-13 |
| 1134541097 | Shontreka Akisha Glover | Nurse Practitioner | 150 N Park Trl Ste B, Stockbridge, GA 30281-7372 | 2014-01-13 |
| 1508123019 | Jai Eun Min | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2012-04-20 |
| 1356331680 | Hitesh Chokshi | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386613982 | Khalid Jalil | Internal Medicine | 1008 Hospital Dr, Suite 1008, Stockbridge, GA 30281-7384 | 2006-03-16 |
| 1427049477 | Timothy Gilrane | Internal Medicine | 7402 Davidson Pkwy S, Stockbridge, GA 30281-4175 | 2005-10-31 |
| 1194715813 | Christopher Antonious Brown | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2005-10-25 |
| 1649278532 | Celestine O Maiki | Internal Medicine | 235 Medical Blvd, Suite A, Stockbridge, GA 30281-7218 | 2005-07-13 |
| 1356988588 | Henry Gastroenterology Specialists PC | Internal Medicine | 1102 Hospital Dr, Stockbridge, GA 30281-6381 | 2019-12-06 |
| 1508123019 | Jai Eun Min | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2012-04-20 |
| 1831274034 | Advanced Digestive Care Center,p.c. | Internal Medicine | 235 Medical Blvd, Suite A, Stockbridge, GA 30281-7218 | 2006-10-26 |
| 1356331680 | Hitesh Chokshi | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.