Edwidge Azor-antoine, - Medicare Nurse Practitioner in Villa Rica, GA

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Edwidge Azor-antoine, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Villa Rica, Georgia. Her current practice location is 626 Dallas Hwy, Villa Rica, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 459-9378.

Edwidge Azor-antoine is licensed to practice in Georgia (license number 302190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740061209.

Contact Information

Edwidge Azor-antoine,
626 Dallas Hwy,
Villa Rica, GA 30180-1209
(770) 459-9378
Not Available

Map and Direction




Provider's Profile

Full NameEdwidge Azor-antoine
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location626 Dallas Hwy, Villa Rica, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740061209
  • Provider Enumeration Date: 10/11/2023
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042748626
  • Enrollment ID: I20250109003202

Medical Identifiers

Medical identifiers for Edwidge Azor-antoine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740061209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 302190 (Georgia)Primary

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. Edwidge Azor-antoine allows following entities to bill medicare on her behalf.
Entity NameTanner Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396979787
PECOS PAC ID: 2769536143
Enrollment ID: O20090819000657

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. Edwidge Azor-antoine 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
Edwidge Azor-antoine,
100 Greenway Blvd Ste C,
Carrollton, GA 30117-4358

Ph: (770) 812-8825		Edwidge Azor-antoine,
626 Dallas Hwy,
Villa Rica, GA 30180-1209

Ph: (770) 459-9378

Reviews and Comments


Nurse Practitioner Nurses in Villa Rica, GA

Anson Chin,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 20 Herrell Rd, Villa Rica, GA 30180
Phone: 770-812-3283    
Thomas Stuckey, CRNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 20 Herrell Rd, Villa Rica, GA 30180
Phone: 770-812-3294    
Jennifer Lee Roberts, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180
Phone: 770-214-2800    Fax: 770-214-2803
Rahab Mona Muthoni, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 503 Main St, Villa Rica, GA 30180
Phone: 770-462-1170    
Mr. John Kamau Kiarie,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180
Phone: 770-812-3530    
Jacqueline Brown, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180
Phone: 770-812-3530    Fax: 770-812-3579
William Thomas Carroll Iii, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180
Phone: 770-812-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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