| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISTOPHER ALTON EDENS | 1194762625 | 2024-04-06 |
Christopher A Edens MD [M] graduated in 1995 from Mercer University School Of Medicine and primarily specializes in Emergency Medicine.
Christopher Alton Edens is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194762625. Registration indicates Christopher Alton Edens is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 1456302389 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Christopher Alton Edens MD |
| Practice Office Address | 2011 COMMERCE DR N SUITE 25 PEACHTREE CITY, GA US |
| Practice Office Telephone | 6787722220 |
| Mailing Address | 2011 COMMERCE DR N STE 25 PEACHTREE CITY, GA 302693538 US |
| Business Telephone | 8449946633 |
| Business Fax | 8554918879 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 42042
GA |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 042042
GA |
| 002023289 | OTHER | GA | UNITED HEALTHCA |
| 000757182K | MEDICAID | GA |