Albert Edwards, M.D
NPI 1265505531 · Family Medicine Physician · Powder Springs, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Albert Edwards, M.D is a Family Medicine Physician provider in Powder Springs, GA (NPI 1265505531).
Provider details
- NPI number
- 1265505531
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 30053 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
354 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 331 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $90 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 11 | $218 |
Typical Medicare-allowed amounts for these services range $90–$218 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 146 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 347 | 37 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 324 | 33 |
| Alprazolam | 305 | 36 |
| Estradiol | 283 | 58 |
| Levothyroxine Sodium | 240 | 50 |
| Gabapentin | 192 | 44 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,196 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2021-10-08
- Certified
- 2021-10-08
Frequently asked questions
- What is Albert Edwards's NPI number?
- Albert Edwards's National Provider Identifier (NPI) is 1265505531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Albert Edwards's specialty?
- Albert Edwards is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Albert Edwards located?
- Albert Edwards's practice location on file with NPPES is 4039 Atlanta St Ste 100, Powder Springs, GA 30127-2666.
- What is Albert Edwards's phone number?
- The practice phone number listed in the NPPES registry for Albert Edwards is (770) 241-1326.
- Does Albert Edwards accept Medicare?
- Albert Edwards is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Albert Edwards's NPI active?
- Yes — Albert Edwards's NPI (1265505531) is active in the NPPES registry as of the last update on 2021-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.