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JOSEPHINE T EDIALE M.D.
NPI 1902880842
Pediatrics in Villa Rica, GA

Active since December 05, 2005
626 DALLAS HWY, VILLA RICA, GA 30180(770) 459-9378(770) 459-8613 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Josephine T Ediale M.d. NPPES

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

JOSEPHINE T EDIALE M.D. (NPI 1902880842) is an individual pediatrics provider in Villa Rica, Georgia, licensed in Georgia (050514) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1902880842
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOSEPHINE T EDIALECredential: M.D.
Location Address626 DALLAS HWYVilla Rica, GA 30180-1209
Mailing Address4480 Blue Ridge DriveDouglasville, GA 30135-1800 · (770) 459-9378 · Fax (770) 459-8613
Phone(770) 459-9378
Fax(770) 459-8613
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateOctober 7, 2014
✔ NPI 1902880842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 050514
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
626 DALLAS HWY, Villa Rica, GA 30180
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Other Identifiers 4

Other01065140GA · Amerigroup
Other000922732GA · Peachstate
Other305728GA · Wellcare
Medicaid000922732CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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.

AHTYANNA KENDRICK CPNP-PC
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
WESTCARE VILLA RICA PEDIATRICS
Pediatrics
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
EDWIDGE AZOR-ANTOINE
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 Josephine Ediale's NPI number?

The NPI number for Josephine Ediale is 1902880842. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Josephine Ediale located?

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

What is Josephine Ediale's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Josephine Ediale accept?

Health plans from Alliant Health Plans, Inc. list Josephine Ediale 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.

When was this NPI record last updated?

The NPPES record for Josephine Ediale was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.