Thomas Nibley Edwards Jr. (NPI# 1033187356, PAC ID# 2961433933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033187356 |
| PAC ID by PECOS | 2961433933 |
| Professional Enrollment ID | I20110419000528 |
| Full Name | Thomas Nibley Edwards Jr. |
| Organization Legal Name | HOPE HEALTH CENTER INC |
| Address |
4614 Carnegie Ave Fairfield AL 35064-1430 |
| Phone Number | 2057851353 |
| Gender | M |
| Medical School | MIAMI MEDICAL COLLEGE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799716767 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010103 | PRINCETON BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4614 Carnegie Ave, Fairfield, AL 35064-1430 | 2057851353 | HOPE HEALTH CENTER INC |
| Organization Legal Name | HOPE HEALTH CENTER INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Davidson | Family Medicine | Hope Health Center Inc | 4614 Carnegie Ave, Fairfield, AL 35064-1430 |
| Street Address |
4614 CARNEGIE AVE |
| City | FAIRFIELD |
| State | AL |
| Zip | 35064-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Davidson | Family Medicine | Hope Health Center Inc | 4614 Carnegie Ave, Fairfield, AL 35064-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raegan Rogers | Nurse Practitioner | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Jacqueline W Kabukuru | Nurse Practitioner | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Emma W Mwangi | Nurse Practitioner | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Caroline W Muriuki | Nurse Practitioner | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Salisia S Valentine | Nurse Practitioner | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Joneice Toney Morgan | Internal Medicine | American Family Care Inc | 6554 Aaron Aronov Dr, Fairfield, AL 35064-1823 |
| Rain F Ruggerio | Nurse Practitioner | Nephrology Associates, PC | 6508 Ej Oliver Blvd, Fairfield, AL 35064-1826 |
| City | FAIRFIELD |
| Zip Code | 35064 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAIRFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Nibley Edwards Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.