Jonathan Edwards (NPI# 1861830697, PAC ID# 3072828292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1861830697 |
| PAC ID by PECOS | 3072828292 |
| Professional Enrollment ID | I20150818004338 |
| Full Name | Jonathan Edwards |
| Organization Legal Name | DVINE SYSTEMS GA, LLC |
| Address |
255 Racetrack Rd Mcdonough GA 30252-6834 |
| Phone Number | 6782125146 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3971818196 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 255 Racetrack Rd, Mcdonough, GA 30252-6834 | 6782125146 | DVINE SYSTEMS GA, LLC |
| Organization Legal Name | DVINE SYSTEMS GA, LLC |
| Physicians | 1 |
| Street Address |
255 RACETRACK RD |
| City | MCDONOUGH |
| State | GA |
| Zip | 30252-6834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle E Monasterski-klos | Chiropractic | 386 Racetrack Rd, Mcdonough, GA 30252-1022 | |
| Ronald Dennis Patrick | General Surgery | 366 Racetrack Rd, Mcdonough, GA 30252-1022 | |
| Rachelle C Levy | Physical Therapy | Proactive Rehab, Inc | 200 Hwy 155 N, Mcdonough, GA 30252-2371 |
| Victoria L Sanchez | Nurse Practitioner | Piedmont Professional Services, LLC | 896 Hwy 81 E, Mcdonough, GA 30252-2914 |
| Stacey Wilmot | Optometry | 42 Old Jackson Rd, Mcdonough, GA 30252-3029 | |
| Joseph Barr | General Practice | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Gilda Moss-traore | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Aigul Guilmanova | Family Medicine | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Mark Weipert | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Ronald N Nettey | Family Practice | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Find all physicians in zip 30252 | |||
| City | MCDONOUGH |
| Zip Code | 30252 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MCDONOUGH + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jonathan Edwards.
| 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.