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EDWIDGE AZOR-ANTOINE
NPI 1740061209
Nurse Practitioner - Pediatrics in Villa Rica, GA

Active since October 11, 2023PECOS Enrolled
626 DALLAS HWY, VILLA RICA, GA 30180(770) 459-9378 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2025, Dec 5, 2024, Oct 11, 2023 (3 updates tracked since 2023).

About Edwidge Azor-antoine NPPES

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

EDWIDGE AZOR-ANTOINE (NPI 1740061209) is an individual pediatrics provider in Villa Rica, Georgia, licensed in Georgia (302190) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740061209
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEDWIDGE AZOR-ANTOINE
Location Address626 DALLAS HWYVilla Rica, GA 30180-1209
Mailing Address100 Greenway Blvd Ste CCarrollton, GA 30117-4358 · (770) 812-8825 · Fax (770) 812-5910
Phone(770) 459-9378
Sole ProprietorNo
Enumeration DateOctober 11, 2023
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1740061209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · 302190
626 DALLAS HWY, Villa Rica, GA 30180
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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)

Edwidge Azor-antoine 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

WESTCARE VILLA RICA PEDIATRICS
Pediatrics
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
JOSEPHINE T EDIALE M.D.
Pediatrics
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
AHTYANNA KENDRICK CPNP-PC
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
JESSICA N DUNN ARNP
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378

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 Edwidge Azor-antoine's NPI number?

The NPI number for Edwidge Azor-antoine is 1740061209. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Edwidge Azor-antoine located?

Edwidge Azor-antoine practices at 626 Dallas Hwy, Villa Rica, GA 30180. The listed phone number is (770) 459-9378.

What is Edwidge Azor-antoine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Edwidge Azor-antoine enrolled in Medicare?

Yes. Edwidge Azor-antoine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwidge Azor-antoine was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.