MRS. TRACIE THERESA EDWARDS NP
NPI 1104486711
Nurse Practitioner in Conyers, GA
About Mrs. Tracie Theresa Edwards Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACIE THERESA EDWARDS NP (NPI 1104486711) is an individual nurse practitioner in Conyers, Georgia, licensed in Georgia (RN288766) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Tracie Theresa Edwards Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Tracie Edwards reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Gloversville, NY 12078
- Reassigned Medicare billing, New York enrollment
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAGrady Memorial Hospital
Acute Care Hospitals · Atlanta, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CONYERS, GA 30012
CONYERS, GA 30012
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 Tracie Edwards's NPI number?
The NPI number for Tracie Edwards is 1104486711. It was assigned to this individual provider in the NPPES registry on June 17, 2019.
Where is Tracie Edwards located?
Tracie Edwards practices at 1412 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 918-3000.
What is Tracie Edwards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tracie Edwards enrolled in Medicare?
Yes. Tracie Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tracie Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Edwards reassigns Medicare benefits to 4 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), The Emory Clinic Inc (Atlanta, GA), Grady Memorial Hospital Corporation (Atlanta, GA) and Gloversville Physician Medicine Services PC (Gloversville, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracie Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracie Edwards accept?
Health plans from Ambetter Health, Oscar Health and Oscar Insurance Company list Tracie Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tracie Edwards affiliated with any hospitals?
According to CMS data, Tracie Edwards is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Grady Memorial Hospital and Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Tracie Edwards was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Tracie Theresa Edwards, NP · NPI 1104486711
Nurse Practitioner physician in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1104486711 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN288766 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1412 MILSTEAD AVE NE, Conyers, GA 30012-3877
- **Phone:** (770) 918-3000 · **Fax:** (770) 918-3104
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA); Gloversville Physician Medicine Services PC (NPI 1487907630, Gloversville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104486711) · Data from the CMS NPPES public registry.