Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EDGEWATER MEDICAL LLC
NPI 1275432858
Nurse Practitioner - Psychiatric/Mental Health in Johns Creek, GA

Q: What is Edgewater Medical LLC's NPI number?

The NPI number for Edgewater Medical LLC is 1275432858. It was assigned to this organization in the NPPES registry on November 2, 2026.

Q: What is Edgewater Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 02, 2026

465 LEASINGHAM WAY, JOHNS CREEK, GA 30097(770) 318-8565 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Edgewater Medical Llc NPPES

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

EDGEWATER MEDICAL LLC (NPI 1275432858) is a healthcare organization registered as a psychiatric/mental health in Johns Creek, Georgia and active in the NPI registry since November 2026. The organization lists Onyinyechi Uloma Eke, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1275432858

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameEDGEWATER MEDICAL LLC

Location Address465 LEASINGHAM WAYJohns Creek, GA 30097-7198

Mailing Address465 Leasingham Way Apt 131Johns Creek, GA 30097-7198 · (770) 318-8565

Phone(770) 318-8565

Organization SubpartYes

Authorized OfficialOnyinyechi Uloma EkePmhnp-bc · (770) 318-8565

Enumeration DateNovember 2, 2026

NPPES CertifiedNovember 2, 2026

✔ NPI 1275432858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

465 LEASINGHAM WAY, Johns Creek, GA 30097

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Edgewater Medical LLC's NPI number?

The NPI number for Edgewater Medical LLC is 1275432858. It was assigned to this organization in the NPPES registry on November 2, 2026.

Where is Edgewater Medical LLC located?

Edgewater Medical LLC is located at 465 Leasingham Way, Johns Creek, GA 30097. The listed phone number is (770) 318-8565.

What is Edgewater Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Edgewater Medical LLC was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.