Jacob Edwards
MD | Pediatrics | Male
Jacob Edwards, MD is a Dothan, Alabama based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacob Edwards is
5565 Montgomery Hwy, Dothan, Alabama - 36303-1552. He can be contacted on phone at
334-699-3733 and fax number 334-500-3007.
Jacob Edwards is a sole proprietor of his business.
NPI number (Unique professional ID) for Jacob Edwards is
1730323254 which was assigned by NPPES on 28 Apr, 2009 and it was last updated on 15 May, 2020.
Jacob Edwards license number is
MD.31940 for Pediatrics (208000000X) in Alabama.
Jacob Edwards is a pediatrician who 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.
Complete Profile:
Jacob Edwards basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacob Edwards |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jacob Edwards address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5565 Montgomery Hwy
Dothan, AL, 36303-1552
United States |
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| Phone Number : | 334-699-3733 |
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| Fax Number : | 334-500-3007 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730323254 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2009 |
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| Last Updated On : | 15 May, 2020 |
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Medicare Participation:
Jacob Edwards participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8325317050 |
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| Medicare Enrollment ID : | I20170711003531 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Morehouse School Of Medicine |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Jacob Edwards accepts medicare insurance. |
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Group Practice Association:
Jacob Edwards is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacob Edwards is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Dothan Pediatric Clinic, P. A. | 0749245330 | 2 | 5565 Montgomery Hwy
Dothan, AL - 363031552
Ph: 3346993733 | Yes |
| Dothan Pediatric Clinic, P. A. | 0749245330 | 2 | 2125 W Roy Parker Rd
Ozark, AL - 363608650
Ph: 3344457337 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Edwards are as mentioned. Primary taxonomy code for Jacob Edwards, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD.31940 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Jacob Edwards such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003190111D | MEDICAID | GA | |
| 51222367 | Other | AL | BCBS |
| 021006600 | MEDICAID | FL | |
| 141478 | MEDICAID | AL | |
| 229200 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 126 Clinic Dr
Dothan, AL, 36303-1980
United States |
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| Phone Number : | 334-793-1881 |
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| Fax Number : | 334-340-5918 |
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Business Location:
Patients can refer following map for directions to
Jacob Edwards practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.