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DR. EDWARD JACOB CLEMONS III DDS
NPI 1003508755
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since May 22, 2023
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318(404) 523-6571 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Edward Jacob Clemons Iii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD JACOB CLEMONS III DDS (NPI 1003508755) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1003508755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWARD JACOB CLEMONS IIICredential: DDS
Location Address1015 DONALD LEE HOLLOWELL PKWY NWAtlanta, GA 30318-6653
Mailing Address1015 Donald Lee Hollowell Pkwy NwAtlanta, GA 30318-6653
Phone(404) 523-6571
Sole ProprietorYes
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1003508755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1015 DONALD LEE HOLLOWELL PKWY NW, Atlanta, GA 30318
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY COLARUSSO M.D.
Pediatrics
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (404) 523-6571
CONNIE BRANOM
Counselor (Professional)
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (404) 523-6571
MEREDITH L WILLIAMS MA,LAPC
Counselor (Professional)
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (678) 553-6571
CATHERINE ELIZABETH STUMP FNP
Registered Nurse
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (678) 553-4935
DR. STEPHEN S. LAW M.D.
Obstetrics & Gynecology (Gynecology)
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (404) 523-6571
DR. MOLLY HAWKINS RUIZ DMD
Dentist
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (404) 523-6571
JERLYN JONES RD
Dietitian, Registered
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (678) 553-4935
LORI ANN LEVINE NP
Nurse Practitioner (Family)
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Fulton County (404) 523-6571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Clemons's NPI number?

The NPI number for Edward Clemons is 1003508755. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Edward Clemons located?

Edward Clemons practices at 1015 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318. The listed phone number is (404) 523-6571.

What is Edward Clemons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edward Clemons was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.