OrganizationActive
Edgewood Medical Center Inc
NPI 1801199914 · Multi-Specialty Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1801199914
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gholam Bakhtiari, President(404) 688-2211
Specialties & taxonomies
Ambulatory Health Care Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
212 Edgewood Ave Ne
Atlanta, GA 30303
Phone: (404) 246-0589
Fax: (404) 688-2226
Street-level locationGet directions
Mailing address
212 Edgewood Ave Ne
Atlanta, GA 30303-3027
Registry dates
- Enumerated
- 2010-12-10
- Last updated
- 2010-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.