| J Edwyn Carter, MD | |
| 
					189 Jefferson Pkwy, Newnan, GA 30263-5823  | |
| (770) 304-2220 | |
| (770) 304-2622 | 
| Full Name | J Edwyn Carter | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 189 Jefferson Pkwy, Newnan, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770566952 | NPI | - | NPPES | 
| 00606581A | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 037971 (Georgia) | Primary | 
| Entity Name | Piedmont Pediatric Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447315742 PECOS PAC ID: 3678505609 Enrollment ID: O20050909000813  | 
| Mailing Address | Practice Location Address | 
|---|---|
| J Edwyn Carter, MD 189 Jefferson Pkwy, Newnan, GA 30263-5823 Ph: (770) 304-2220  | J Edwyn Carter, MD 189 Jefferson Pkwy, Newnan, GA 30263-5823 Ph: (770) 304-2220  | 
Fred A Tega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Baynard Park, Newnan, GA 30265 Phone: 770-251-5253 Fax: 770-251-5254  | |
Dr. Regina P Justice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2462 Highway 34 East, Suite A, Newnan, GA 30265 Phone: 770-683-5437 Fax: 770-683-3758  | |
Shannon Leigh Boles, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263 Phone: 770-253-0170  | |
J. Boyce Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189 Jefferson Pkwy, Newnan, GA 30263 Phone: 770-304-2220 Fax: 770-304-2622  | |
Melinda O Amosu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 189 Jefferson Pkwy, Newnan, GA 30263 Phone: 770-304-2220 Fax: 770-304-2622  | |
Dr. Jill B Dickerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Market Square Way Ste 100, Newnan, GA 30265 Phone: 678-423-5560 Fax: 678-423-5563  | |
Jamison R. Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265 Phone: 770-502-2020  |