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

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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, The Emory Clinic, Inc, Gloversville Physician Medicine Services Pc, Breitbeck 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 NameMrs Tracie Theresa Edwards
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1104486711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN288766 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University HospitalAtlanta, GAHospital
Grady Memorial HospitalAtlanta, GAHospital
Emory Hillandale HospitalLithonia, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital Corporation7517032998262
The Emory Clinic, Inc88209014082729
Gloversville Physician Medicine Services Pc185053622821
Breitbeck Physician Medicine Services, Pc91335592069

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 NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameCantrell Lake Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497281133
PECOS PAC ID: 1254604101
Enrollment ID: O20170829002027
Entity NameWalker Lake Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.