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MARK ANTHONY EDMONDS
NPI 1912369406
Peer Specialist in Hopkinsville, KY

Active since March 23, 2016
2400 RUSSELLVILLE RD, GENESIS EAST, HOPKINSVILLE, KY 42240(270) 887-5697(270) 887-5849 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Mar 23, 2016 (2 updates tracked since 2016).

About Mark Anthony Edmonds NPPES

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

MARK ANTHONY EDMONDS (NPI 1912369406) is an individual peer specialist in Hopkinsville, Kentucky and active in the NPI registry since March 2016. He maintains a secondary practice location in Hopkinsville.

NPPES Registry Identity

NPI1912369406
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK ANTHONY EDMONDS
Location Address2400 RUSSELLVILLE RD, GENESIS EASTHopkinsville, KY 42240-8095
Mailing AddressPo Box 614Hopkinsville, KY 42241-0614 · (270) 886-2205 · Fax (270) 886-0392
Phone(270) 887-5697
Fax(270) 887-5849
Sole ProprietorNo
Enumeration DateMarch 23, 2016
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1912369406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2400 RUSSELLVILLE RD, Hopkinsville, KY 42240
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Secondary Practice Location 1

Location 1607 Hammond PlzHopkinsville, KY 42240-4971 · Phone (270) 881-9551 · Fax (270) 885-5871

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.

ALAN D CATO MD
Family Medicine
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 889-6025
WESTERN STATE HOSPITAL PHARMACY
Pharmacy (Institutional Pharmacy)
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 889-6025
ALVIS FINLEY
Peer Specialist
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 884-5697
TAYLOR HANES MA
Student in an Organized Health Care Education/Training Program
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 889-6025
JAYDE BREANA BRADY LPA-T
Psychologist
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 889-6025
MRS. LISA MURILLO APRN
Nurse Practitioner (Family)
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 889-6025
NATHAN RAGSDALE
Peer Specialist
2400 RUSSELLVILLE RD, GENESIS EAST
HOPKINSVILLE, KY 42240
Christian County (270) 887-5697
KENNETH RAY LANTRIP
Peer Specialist
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42240
Christian County (270) 887-5697

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 Mark Edmonds's NPI number?

The NPI number for Mark Edmonds is 1912369406. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mark Edmonds located?

Mark Edmonds practices at 2400 Russellville Rd Genesis East, Hopkinsville, KY 42240. The listed phone number is (270) 887-5697.

What is Mark Edmonds's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mark Edmonds was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.