Provider Demographics
NPI:1710131941
Name:EDWARDS, JOY S (NMD,PHD,RN ,MPH, NP)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:S
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:NMD,PHD,RN ,MPH, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PHIPPS BLVD NE APT 1304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-3342
Mailing Address - Country:US
Mailing Address - Phone:678-549-6255
Mailing Address - Fax:
Practice Address - Street 1:270 CARPENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4946
Practice Address - Country:US
Practice Address - Phone:678-653-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA242534163W00000X, 363LA2200X, 363LG0600X
GARN242534163WA2000X, 163WC1500X, 163WR0006X, 363L00000X, 363LA2200X, 363LG0600X, 363LX0106X
174400000X, 174H00000X, 175F00000X, 175L00000X
KS5381187032363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health