EDENS HEALTH GROUP LAWRENCEVILLE (NPI# 1033561956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033561956 |
| Entity Type | Organization |
| Organization Name | EDENS HEALTH GROUP LAWRENCEVILLE |
| Practice Address |
2011 Commerce Dr N Suite 25 Peachtree City GA 30269-3538 |
| Mailing Address |
Po Box 629 Perry GA 31069-0629 |
| Practice Telephone | 7703177773 |
| Practice Fax Number | 8554918879 |
| Mailing Telephone | 8556918869 |
| Mailing Fax Number | 8556918879 |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |
| Authorized Official Name | CHRISTOPHER ALTON EDENS (PRESIDENT) |
| Authorized Official Telephone | 8554918869 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2011 COMMERCE DR N SUITE 25 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368425 | Alison Baker | Psychiatry & Neurology | 2011 Commerce Dr N, Suite A106, Peachtree City, GA 30269-3538 | 2006-04-28 |
| 1689159980 | Integrated Care Resources of Georgia, LLC | Case Management | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2018-10-02 |
| 1326529157 | Integrated Care Resources, Inc | Clinic/Center | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2018-08-29 |
| 1740793199 | Lashanda L. Johnson | Social Worker | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2017-11-08 |
| 1023521473 | Marvelously Adorned, LLC | Counselor | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2017-11-08 |
| 1932650884 | Jason Mcdowell | Nurse Practitioner | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2016-10-16 |
| 1053706531 | Gomed, LLC | General Practice | 2011 Commerce Dr N, Suite 25, Peachtree City, GA 30269-3538 | 2015-04-01 |
| 1245649581 | Mia Y Wright | Social Worker | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2014-08-12 |
| 1417363797 | Dr 2 Travel, LLC | Clinic/Center | 2011 Commerce Dr N, Suite 21, Peachtree City, GA 30269-3538 | 2014-07-07 |
| 1396169959 | Monica L. Bell-callahan | Counselor | 2011 Commerce Dr N, Peachtree City, GA 30269-3538 | 2014-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326650 | James M Desantis | Emergency Medicine | 400 Westpark Ct, Ste 230, Peachtree City, GA 30269-3571 | 2006-05-24 |
| 1427002252 | Richard M Sobel | Emergency Medicine | 101 Passage Pt, Peachtree City, GA 30269-3295 | 2006-05-19 |
| 1336388636 | Peachtree City Urgent Care, Inc | Emergency Medicine | 8 Eastbrook Bnd, Suite B, Peachtree City, GA 30269-1530 | 2009-02-10 |
| 1194762625 | Christopher Alton Edens | Emergency Medicine | 2011 Commerce Dr N, Suite 25, Peachtree City, GA 30269-3538 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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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.