GEORGE DAVID EDENFIELD SR. (NPI# 1740305101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740305101 |
| Entity Type | Individual |
| Full Name | GEORGE DAVID EDENFIELD SR. |
| Credential | PAC |
| Practice Address |
4431 Us Highway 220 N Summerfield NC 27358-9411 |
| Mailing Address |
1701 Westchester Dr Ste 850 High Point NC 27262-7008 |
| Practice Telephone | 3366437711 |
| Practice Fax Number | 3366433047 |
| Mailing Telephone | 3368022400 |
| Mailing Fax Number | 3368022534 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 101537 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4431 US HIGHWAY 220 N |
| City | SUMMERFIELD |
| State | NC |
| Zip Code | 27358-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620517 | Kevin Alan Elmore | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2020-05-18 |
| 1063042174 | Hayden Byrd Morrison | Registered Nurse | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2020-01-17 |
| 1821536673 | Breejante Jerneisha Williams | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2017-02-01 |
| 1902277064 | Jennifer Lynn Couillard | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2015-10-15 |
| 1063805281 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2015-03-12 |
| 1891068383 | Nancy Kay Hartman | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574827 | Moses Cone Physician Services, Inc. | Family Medicine | 4446 Us Highway 220 North, Suite A, Summerfield, NC 27358 | 2016-09-01 |
| 1639457344 | Kathy M Cornelius | Pharmacist | 4601 Us Hwy 220 N, Summerfield, NC 27358 | 2011-07-29 |
| 1043405459 | Lake Brandt Pharmacy Inc | Pharmacy | 1007 E Hwy 150 West, Summerfield, NC 27358 | 2007-09-10 |
| 1417176421 | Veronica Chavez Tart | Speech-Language Pathologist | 7098 Toscana Trce, Summerfield, NC 27358 | 2007-04-25 |
| 1518069921 | Kay Skow | Physical Therapist | 4446 A Us Hwy 220 North, Summerfield, NC 27358 | 2006-09-05 |
| 1043355639 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2600 Pleasant Ridge Rd, Summerfield, NC 27358-7202 | 2007-02-21 |
| 1396031076 | John Richard White Jr. | Pharmacist | 6900 Bronco Ln, Summerfield, NC 27358-7800 | 2011-06-22 |
| 1073644589 | Michelle Marie Lesperance | Specialist/Technologist | 5401 Broadleaf Rd, Summerfield, NC 27358-7825 | 2007-03-08 |
| 1215158241 | Gregory Scott Barham | Pharmacist | 3325 Annry Dr, Summerfield, NC 27358-7906 | 2007-05-01 |
| 1396941886 | Monica Sparks Benfield | Pharmacist | 1007 Nc Highway 150 W Ste E, Summerfield, NC 27358-7925 | 2007-06-22 |
| Find all providers in zip 27358 | ||||
| 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 |
|---|---|---|---|---|
| 1225022528 | Noreen Burch | Physician Assistant | 17270 Se 109th Terrace Rd, Summerfield, FL 34491-9015 | 2005-09-01 |
| 1922620517 | Kevin Alan Elmore | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2020-05-18 |
| 1750855649 | Annalee Santos Russ | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2019-01-14 |
| 1437633070 | Marissa Rae Reit | Physician Assistant | 10770 Se 173rd St, Summerfield, FL 34491-6851 | 2018-09-19 |
| 1821536673 | Breejante Jerneisha Williams | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2017-02-01 |
| 1902277064 | Jennifer Lynn Couillard | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2015-10-15 |
| 1821467663 | Amanda Ansbaugh | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2015-09-23 |
| 1255769758 | Leon Martin Bard | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2013-10-18 |
| 1891068383 | Nancy Kay Hartman | Physician Assistant | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2012-02-15 |
| 1457650384 | Deonna L Faucette | Physician Assistant | 4601 Us Highway 220 N, Summerfield, NC 27358-9207 | 2011-03-17 |
| Find all providers in SUMMERFIELD | ||||
| City | SUMMERFIELD |
| Zip Code | 27358 |
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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.