MR. LARRY JAMES EDWARDS (NPI# 1417306374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417306374 |
| Entity Type | Individual |
| Full Name | MR. LARRY JAMES EDWARDS |
| Credential | PA-C |
| Practice Address |
2030 Newton Rd Albany GA 31701-3520 |
| Practice Telephone | 2294302764 |
| Practice Fax Number | 2294300410 |
| Mailing Telephone | 2294302764 |
| Mailing Fax Number | 2294300410 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2723 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170365 | Larry Edwards | Counselor | 19005 122nd Ave, Suite A, Springfield Gardens, NY 11413-1010 | 2014-10-23 |
| 1285801548 | Larry A. Edwards | Durable Medical Equipment & Medical Supplies | 1190 Market St, Suite D, Yuba City, CA 95991-3451 | 2008-05-14 |
| 1689882870 | Larry David Edwards | Internal Medicine | 71 Abbey Pl, Jackson, TN 38305-1793 | 2007-05-19 |
| 1740350800 | Larry J Edwards | Obstetrics & Gynecology | 1250 S Eastern Ave, Las Vegas, NV 89104-2052 | 2006-11-08 |
| 1255838843 | Larry Edwards | Case Manager/Care Coordinator | 3950 Chester Ave, Cleveland, OH 44114-4625 | 2018-04-10 |
| 1164971743 | Larry Edwards | Pharmacist | 208 S West St, Waupun, WI 53963-1681 | 2016-09-23 |
| 1962890780 | Larry Edwards | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2014-12-31 |
| 1891108122 | Larry Edwards | Social Worker | 1423 Field St, Detroit, MI 48214-2321 | 2014-06-04 |
| 1952402802 | Larry Joe Edwards | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2006-09-25 |
| 1205801081 | Larry Edwards | Radiology | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-02-23 |
| Street Address |
2030 NEWTON RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| 1154734069 | Noel Almani | Physician Assistant | 315 South Manning Boulevard, Albany, NY 12208 | 2014-06-09 |
| Find all providers in ALBANY | ||||
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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.