DR. EDWARD SCOTT MIDDLEBROOKS (NPI# 1801810932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801810932 |
| Entity Type | Individual |
| Full Name | DR. EDWARD SCOTT MIDDLEBROOKS |
| Credential | MD |
| Practice Address |
758 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3385 |
| Practice Telephone | 7709624300 |
| Practice Fax Number | 7703397544 |
| Mailing Telephone | 7709624300 |
| Mailing Fax Number | 7703397544 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
47624 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000842278G | 05 | |
| GA | 000842278F | 05 |
| Street Address |
758 OLD NORCROSS RD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277591 | Ruthann Phillips | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2005-07-07 |
| 1396270898 | Chanh Huynh | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2017-04-22 |
| 1124478730 | Kevin Todd Miller | Dietitian, Registered | 758 Old Norcross Rd, Suite 175, Lawrenceville, GA 30046-3385 | 2016-06-14 |
| 1932519527 | Amanda Nicole Leon | Specialist/Technologist | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-05-05 |
| 1306261896 | Emilia Morris | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-02-20 |
| 1972926152 | Rovi-jane Mehta | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-01-24 |
| 1760734164 | Alicia B Glassford | Dietitian, Registered | 758 Old Norcross Rd, Suite 175, Lawrenceville, GA 30046-3385 | 2012-10-09 |
| 1457639122 | Brenna Williford Coggins | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2011-07-29 |
| 1093048845 | Hartley L. Falbaum | Orthopaedic Surgery | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2009-09-11 |
| 1730318031 | Caitlyn M Giudici | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912058546 | Central Jersey Spine Associates, P.a. | Orthopaedic Surgery | 123 Franklin Corner Rd, Suite 109, Lawrenceville, NJ 08648-2526 | 2007-01-12 |
| 1972552842 | Douglas Brian Kasow | Orthopaedic Surgery | 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122962 | Spine Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy Ste 130a, Atlanta, GA 30328-3495 | 2018-01-26 |
| 1295243061 | Joint Replacement Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy # 130b, Atlanta, GA 30328-3495 | 2018-01-16 |
| 1124568480 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 109 Fairview Park Dr, Dublin, GA 31021-2562 | 2017-03-06 |
| 1588056873 | Spinecentersavannah, LLC | Orthopaedic Surgery | 1266 W Paces Ferry Rd Nw, Box 437, Atlanta, GA 30327-2306 | 2015-02-24 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1851455877 | Plas T James | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 500, Atlanta, GA 30327-1659 | 2006-12-21 |
| 1376602565 | Premier Orthopaedic Surgery, LLC | Orthopaedic Surgery | 7360 Mcginnis Ferry Rd, Suite E, Suwanee, GA 30024-6603 | 2006-12-06 |
| 1992810105 | Sangwook Tim Yoon | Orthopaedic Surgery | 59 Executive Park South Ne Ste 3000, Atlanta, GA 30329-2208 | 2006-08-20 |
| 1295745081 | Andrew G Cordista | Orthopaedic Surgery | 8 Live Oak Ct, Moultrie, GA 31768-6783 | 2006-08-08 |
| 1952376337 | Todd C Bonvallet | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-02-21 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.