Mrs Tracie Theresa Edwards, NP in Conyers, GA

Mrs Tracie Theresa Edwards, NP is a medicare enrolled "Nurse Practitioner" in Conyers, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grady Memorial Hospital Corporation, Hospital Physician Services - Southeast Professional Corporation, The Emory Clinic, Inc, Gloversville Physician Medicine Services Pc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 918-3000.

Mrs Tracie Theresa Edwards is licensed to practice in Georgia (license number RN288766) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104486711.

Contact Information

	Mrs Tracie Theresa Edwards, NP
	1412 Milstead Ave Ne, Conyers, GA 30012-3877
	(770) 918-3000
	(770) 918-3104

Map and Direction

Provider's Profile

Full Name	Mrs Tracie Theresa Edwards
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tracie Theresa Edwards graduated from nursing school in 2019

NPI Data:

NPI Number: 1104486711
Provider Enumeration Date: 06/17/2019
Last Update Date: 11/01/2019

Medicare PECOS Information:

PECOS PAC ID: 4284069386
Enrollment ID: I20200117002394

Medical Identifiers

Medical identifiers for Mrs Tracie Theresa Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104486711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN288766 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grady Memorial Hospital	Atlanta, GA	Hospital
Emory Hillandale Hospital	Lithonia, GA	Hospital
Emory University Hospital	Atlanta, GA	Hospital
Nathan Littauer Hospital	Gloversville, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grady Memorial Hospital Corporation	7517032998	252
Hospital Physician Services - Southeast Professional Corporation	5597774554	640
The Emory Clinic, Inc	8820901408	2687
Gloversville Physician Medicine Services Pc	1850536228	23

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. Mrs Tracie Theresa Edwards allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Cantrell Lake Inpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497281133 PECOS PAC ID: 1254604101 Enrollment ID: O20170829002027

Entity Name	Walker Lake Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003385964 PECOS PAC ID: 3870832843 Enrollment ID: O20190308002530

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. Mrs Tracie Theresa Edwards 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 Address	Practice Location Address
Mrs Tracie Theresa Edwards, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mrs Tracie Theresa Edwards, NP 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3000

Reviews and Comments

Nurse Practitioner Nurses in Conyers, GA

Turquoise Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094 Phone: 770-285-6699 Fax: 770-285-6510
Cecelin E Fields, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Woodstone Cv Se, Conyers, GA 30013 Phone: 770-688-0405
Assumpta Ogbedeagu, MS-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013 Phone: 303-214-8017
Meetali Bindra, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 678-369-6934
Ms. Judith T Chabot, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012 Phone: 678-413-2026 Fax: 678-413-2030
Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662
Mrs. Tonya K Jefferson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2890 Highway 212 Sw Ste E, Conyers, GA 30094 Phone: 770-929-9150

Mrs Tracie Theresa Edwards, NP - Medicare Nurse Practitioner in Conyers, GA