NAZAREE EDWARDS MD
NPI 1437902004
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Nazaree Edwards's NPI number?

The NPI number for Nazaree Edwards is 1437902004. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Q: What is Nazaree Edwards's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nazaree Edwards was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 11, 2024PECOS Enrolled

12 EXECUTIVE PARK DR NE STE 142, ATLANTA, GA 30329(404) 727-5157 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Apr 11, 2024 (2 updates tracked since 2024).

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About Nazaree Edwards Md NPPES

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

NAZAREE EDWARDS MD (NPI 1437902004) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437902004

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNAZAREE EDWARDSCredential: MD

Location Address12 EXECUTIVE PARK DR NE STE 142Atlanta, GA 30329-2206

Mailing Address908 Sw 7th Ave Apt 2Gainesville, FL 32601-6493 · (954) 790-4765

Phone(404) 727-5157

Sole ProprietorYes

Enumeration DateApril 11, 2024

Last NPPES UpdateJune 17, 20242 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1437902004 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.

12 EXECUTIVE PARK DR NE STE 142, Atlanta, GA 30329

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nazaree Edwards Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

DR. MELISSA ORTIZ PENA MD

Student in an Organized Health Care Education/Training Program