JOHN EDRY (NPI# 1952697971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952697971 |
| Entity Type | Individual |
| Full Name | JOHN EDRY |
| Credential | MD |
| Practice Address |
1230 Baxter St Athens GA 30606 |
| Mailing Address |
Po Box 48089 Athens GA 30604-8089 |
| Practice Telephone | 7063101859 |
| Practice Fax Number | 7063109902 |
| Mailing Telephone | 7063893740 |
| Mailing Fax Number | 7063893951 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
74431 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2470 Daniels Bridge Rd, Suite 261, Athens, GA 306066187 | 7063101859 | 7063109902 |
| 3623 J Dewey Gray Cir Ste 210, Augusta, GA 309096554 | 7064216014 | 8552292493 |
| Street Address |
1230 BAXTER ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299195 | St. Mary's Health Care System, Inc. | Pharmacy | 1230 Baxter St, Athens, GA 30606-3712 | 2005-07-19 |
| 1346875770 | Solomon John Leggett | Nurse Practitioner | 1230 Baxter St, Athens, GA 30606-3791 | 2020-03-05 |
| 1295370542 | Athens Clarke Medical Enterprises LLC | Emergency Medicine | 1230 Baxter St, Athens, GA 30606-3712 | 2019-11-11 |
| 1972072239 | Brandi Buggs | Occupational Therapist | 1230 Baxter St, Athens, GA 30606-3791 | 2018-11-16 |
| 1407322563 | Dimitrios K Vavlas | Anesthesiologist Assistant | 1230 Baxter St, Athens, GA 30606-3712 | 2018-10-16 |
| 1790279149 | Nathaniel David Aguar | Nurse Anesthetist, Certified Registered | 1230 Baxter St, Athens, GA 30606 | 2018-06-19 |
| 1467951707 | Christopher Blake Couey | Family Medicine | 1230 Baxter St, Athens, GA 30606 | 2018-02-01 |
| 1265957278 | Rebecca Daniels | Nurse Practitioner | 1230 Baxter St, Athens, GA 30606-3712 | 2017-08-10 |
| 1619490232 | Michelle Elizabeth Sheppard | Anesthesiologist Assistant | 1230 Baxter St, Athens, GA 30606-3712 | 2017-07-25 |
| 1538698162 | Brighton Patrick | Nurse Practitioner | 1230 Baxter St, Athens, GA 30606-3712 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144601048 | Catherine Lockhart | Psychiatry & Neurology | 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 | 2015-06-16 |
| 1285757666 | Eric M Pitts | Psychiatry & Neurology | 1086 A Baxter Street, Athens, GA 30606 | 2007-04-09 |
| 1528181468 | Eteri Bibileishvili | Psychiatry & Neurology | 711 Cook Dr Ste 210, Athens, TN 37303-3486 | 2007-04-07 |
| 1184715526 | Gary Edward Cordingley | Psychiatry & Neurology | 75 Hospital Drive, Suite 360, Athens, OH 45701 | 2006-09-28 |
| 1548212475 | Brian Wesley Mitchell | Psychiatry & Neurology | 1086a Baxter St, Athens, GA 30606-6316 | 2006-05-17 |
| 1730475740 | Brandi S Fleenor | Psychiatry & Neurology | 1086 1/2 Baxter St, Athens, GA 30606-6316 | 2011-06-28 |
| 1538393301 | St. Mary's Medical Group, Inc | Psychiatry & Neurology | 1230 Baxter St, Athens, GA 30606-3712 | 2009-05-08 |
| 1851576557 | Denise S. Taylor | Psychiatry & Neurology | 1086 1/2 Baxter St, Athens, GA 30606-6316 | 2008-01-02 |
| 1114144920 | Robert Steadham | Psychiatry & Neurology | 2470 Daniels Bridge Rd, Bldg 200, Ste. 261, Athens, GA 30606-6187 | 2007-04-20 |
| 1013022755 | Physicians South Neurology LLC | Psychiatry & Neurology | 740 Prince Ave, Bldg #9, Athens, GA 30606 | 2006-08-21 |
| Find all providers in ATHENS | ||||
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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.