EDGEWOOD MEDICAL CENTER INC NPI 1801199914

NPI Information

  • NPI: 1801199914
  • Provider Name: EDGEWOOD MEDICAL CENTER INC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 212 EDGEWOOD AVE NE
    ATLANTA, GA
    ZIP 30303
  • Phone: (404) 246-0589

Map and Directions

Get Directions

NPI Details

EDGEWOOD MEDICAL CENTER INC is a multi-specialty clinic center in Atlanta, GA. EDGEWOOD MEDICAL CENTER INC NPI is 1801199914. The provider is registered as an organization entity type.

The provider's business location address is:

212 EDGEWOOD AVE NE
ATLANTA, GA
ZIP 30303
Phone: (404) 246-0589
Fax: (404) 688-2226

The provider's authorized official is Gholam Reza Bakhtiari .
The authorized official title is President and has the following contact phone number (404) 688-2211.

The enumeration date for this NPI number is 12/10/2010 and was last updated on 12/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.