MR. KEVIN JERMAINE EDMONDS (M.D.) – Obstetrics & Gynecology Physician, NPI 1245209139

MR. KEVIN JERMAINE EDMONDS (M.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 055205 (GA). The NPI Number for MR. KEVIN JERMAINE EDMONDS (M.D.) is 1245209139

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN JERMAINE EDMONDS (M.D.)
NPI
1245209139
Phone
(678) 604-4000
Address
150 EAGLE SPRING CT STE 105
Enumeration Date
14 March 2006
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2001 (25 years ago)
PAC ID
3971510991
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20060320000020
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
kedmonds614925@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for MR. KEVIN JERMAINE EDMONDS (M.D.)

  • 150 EAGLE SPRING CT STE 105

    STOCKBRIDGE, GA 30281

    Phone: (678) 604-4000

    Type: Location

  • 135 Eagles Walk Ste 200

    Stockbridge, GA 302817391

    Phone: (770) 389-8950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($44).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060320000020IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How is MR. KEVIN JERMAINE EDMONDS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MR. KEVIN JERMAINE EDMONDS (M.D.) with NPI 1245209139.
Is MR. KEVIN JERMAINE EDMONDS (M.D.) still practicing?
MR. KEVIN JERMAINE EDMONDS (M.D.) is currently listed as active in the public NPI registry.
What is MR. KEVIN JERMAINE EDMONDS (M.D.)'s specialty?
The listing groups MR. KEVIN JERMAINE EDMONDS (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does MR. KEVIN JERMAINE EDMONDS (M.D.) serve?
MR. KEVIN JERMAINE EDMONDS (M.D.)'s listing highlights Stockbridge, Georgia; more addresses can appear in NPPES.
Why does MR. KEVIN JERMAINE EDMONDS (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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