Mrs Tracie Theresa Edwards, NP - Medicare Nurse Practitioner in Conyers, GA

Mrs Tracie Theresa Edwards, NP is a medicare enrolled "Nurse Practitioner" in Conyers, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Physician Services - Southeast Professional Corporation, Grady Memorial Hospital Corporation, The Emory Clinic, Inc, Gloversville Physician Medicine Services Pc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 918-3000.

Mrs Tracie Theresa Edwards is licensed to practice in Georgia (license number RN288766) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104486711.

Contact Information

Mrs Tracie Theresa Edwards, NP
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(770) 918-3000
(770) 918-3104



Provider's Profile

Full NameMrs Tracie Theresa Edwards
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tracie Theresa Edwards graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104486711
  • Provider Enumeration Date: 06/17/2019
  • Last Update Date: 11/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284069386
  • Enrollment ID: I20200117002394

Medical Identifiers

Medical identifiers for Mrs Tracie Theresa Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104486711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN288766 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital
Emory Hillandale HospitalLithonia, GAHospital
Emory University HospitalAtlanta, GAHospital
Nathan Littauer HospitalGloversville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Physician Services - Southeast Professional Corporation5597774554640
Grady Memorial Hospital Corporation7517032998252
The Emory Clinic, Inc88209014082687
Gloversville Physician Medicine Services Pc185053622823

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tracie Theresa Edwards allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545

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Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311

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Entity NameCantrell Lake Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497281133
PECOS PAC ID: 1254604101
Enrollment ID: O20170829002027

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Entity NameWalker Lake Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003385964
PECOS PAC ID: 3870832843
Enrollment ID: O20190308002530

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tracie Theresa Edwards is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tracie Theresa Edwards, NP
200 Corporate Blvd,
Lafayette, LA 70508-3870

Ph: (800) 893-9698
Mrs Tracie Theresa Edwards, NP
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (770) 918-3000

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Read more News

› Verified 4 days ago


Nurse Practitioner Nurses in Conyers, GA

Turquoise Allen,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094
Phone: 770-285-6699    Fax: 770-285-6510
Cecelin E Fields,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1706 Woodstone Cv Se, Conyers, GA 30013
Phone: 770-688-0405    
Assumpta Ogbedeagu, MS-FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013
Phone: 303-214-8017    
Meetali Bindra, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012
Phone: 678-369-6934    
Ms. Judith T Chabot, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012
Phone: 678-413-2026    Fax: 678-413-2030
Nathalie G Bailey, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013
Phone: 404-994-4662    
Mrs. Tonya K Jefferson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2890 Highway 212 Sw Ste E, Conyers, GA 30094
Phone: 770-929-9150    

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