NPI age
15 years
Enumerated 2010-12-10
● Active Type 2 · Organization
Edgewood Medical Center Inc
Edgewood Medical Center Inc is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bakhtiari
President
Last NPPES update
2010-12-10
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
15 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
212 Edgewood Ave Ne
Atlanta, GA 30303
Mailing address
212 Edgewood Ave Ne
Atlanta, GA 303033027
Authorized official
Gholam Reza Bakhtiari, PHARMD
President
📞 4046882211
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
In Home Supportive CareAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 318 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.