MR. JOHN DOUGLAS EDWARDS JR. (NPI# 1184888497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184888497 |
| Entity Type | Individual |
| Full Name | MR. JOHN DOUGLAS EDWARDS JR. |
| Credential | R.P.A., RT(R) |
| Practice Address |
20 Glenlake Pkwy Ne Atlanta GA 30328-3473 |
| Mailing Address |
4936 Chalden Ln Ne Marietta GA 30066-1417 |
| Practice Telephone | 7706775857 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 302476 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
| 1740451970 | John Joseph Edwards | Psychologist | 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 | 2008-03-15 |
| 1023131372 | John O Edwards | Counselor | 205 Powell Pl, Brentwood, TN 37027-7522 | 2007-04-09 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1093842833 | John W. Edwards | Chiropractor | 3105 Alcoa Hwy Ste H, Knoxville, TN 37920-4783 | 2007-02-28 |
| 1922188911 | John Odis Edwards Jr. | Physical Therapist | 1300 Corporation Pkwy, Raleigh, NC 27610-0132 | 2006-10-16 |
| 1699788075 | John David Edwards | Pharmacist | 2448 Us Highway 60 E, Henderson, KY 42420-2509 | 2006-08-15 |
| 1336158294 | John D Edwards | Otolaryngology | 22999 Highway 59 N Ste 400, Kingwood, TX 77339-4441 | 2006-08-07 |
| 1649299199 | John Edwards | Physical Medicine & Rehabilitation | 215 N. Fresno St., 370, Fresno, CA 93701 | 2006-07-18 |
| 1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
| Street Address |
20 GLENLAKE PKWY NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457319568 | April Michelle Liverman | Physician Assistant | 20 Glenlake Pkwy Ne, Dept of Breast Surgery, Atlanta, GA 30328-3473 | 2006-05-01 |
| 1184911760 | Anuj Ashwin Patel | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2011-07-05 |
| 1194039115 | Sherry-ann Renee Marshall | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2010-08-02 |
| 1205152881 | Barry Michael Mason | Urology | 20 Glenlake Pkwy Ne, Urology Department, Atlanta, GA 30328-3473 | 2010-04-08 |
| 1225291859 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-03 |
| 1164692554 | Brian Jaehoon Chung | Otolaryngology | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-03-03 |
| 1043400930 | Shahidur Rahman | Pediatrics | 20 Glenlake Pkwy Ne, Glenlake Medical Center, Atlanta, GA 30328-3473 | 2007-07-27 |
| 1831305820 | Vanessa Etheridge Smith | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2007-05-15 |
| 1669540043 | Jennifer Plunkett | Surgery | 20 Glenlake Pkwy Ne, Department of Surgery, Atlanta, GA 30328-3473 | 2006-12-01 |
| 1588753354 | Teresa M. Lo | Otolaryngology | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033471669 | Vincent Paul Jackson | Radiologic Technologist | 4950 Glaze Dr, Atlanta, GA 30360-1702 | 2012-06-11 |
| 1750520482 | Alicia Fair-jemison | Radiologic Technologist | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2009-02-20 |
| 1346371531 | Independent Diagnostic Services | Radiologic Technologist | 550 Peachtree Street, Suite 1760, Atlanta, GA 30308 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281100 | On-site Imaging Solutions LLC | Radiologic Technologist | 10755 Brunson Dr, Johns Creek, GA 30097-8465 | 2015-04-02 |
| 1013318948 | Patti Catlett | Radiologic Technologist | 3060 Cypress Cv, Ball Ground, GA 30107-2675 | 2014-09-10 |
| 1184870115 | David Anthony Hardwick | Radiologic Technologist | 3198 Trinity Mill Cir, Dacula, GA 30019-1036 | 2008-08-11 |
| 1154584555 | Kathy C Isley | Radiologic Technologist | Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 | 2008-07-07 |
| 1639298276 | Brian L Jones | Radiologic Technologist | 203 Pineywood Rd, Griffin, GA 30224-4964 | 2007-03-28 |
| 1346255080 | Open Mri of Milledgeville LLC | Radiologic Technologist | 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 | 2006-07-30 |
| 1134151079 | Tina Marie Sapp | Radiologic Technologist | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2006-07-07 |
| 1265421614 | Greene David Mock | Radiologic Technologist | 34 Diana Dr, Savannah, GA 31406-7510 | 2005-10-18 |
| 1750908927 | Cassidy Davis | Radiologic Technologist | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-02 |
| 1245852805 | Cristina Royce | Radiologic Technologist | 35 Hospital Rd, Blairsville, GA 30512-3139 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
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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.