| James Michael Edmundson, | |
|
509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | |
| (919) 938-7113 | |
| Not Available |
| Full Name | James Michael Edmundson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 509 N Brightleaf Blvd, Smithfield, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871604447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2015 (North Carolina) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 165982 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnston Health | Smithfield, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnston Health Services Corporation | 2163655283 | 23 |
| 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: Not Available | 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 |
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 |
Patricia P Murray, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 |