| James Michael Edmundson, | |
|
509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | |
| (919) 938-7113 | |
| Not Available |
| Full Name | James Michael Edmundson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 509 N Brightleaf Blvd, Smithfield, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871604447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 165982 (North Carolina) | Primary |
| Entity Name | Johnston Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275735425 PECOS PAC ID: 2163655283 Enrollment ID: O20140612002236 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Edmundson, 2013 Foxbrook Dr, Raleigh, NC 27603-5182 Ph: () - | James Michael Edmundson, 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 Ph: (919) 938-7113 |
Jennifer C. Johler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Mrs. Jacqueline Brewer Stevens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7113 | |
Allison Renee Machado, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7019 Fax: 919-938-7957 | |
Lucy Coats, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Brenda Leatherman Hess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Stephen James Delaporte, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Mrs. Kristie Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 |