EdgeWood Nursing Center – Skilled Nursing Facility, NPI 1962404905

EdgeWood Nursing Center is a healthcare provider. based in Roswell, Georgia. specializing in Skilled Nursing Facility. The NPI Number for EdgeWood Nursing Center is 1962404905

Main info

Organization
Name
EdgeWood Nursing Center
NPI
1962404905
Phone
(770) 993-4000
Address
995 CANTON ST STE 100
Authorized Official
ROBERT HAGAN PRESIDENT
Enumeration Date
10 August 2005
Last Update Date
18 July 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for EdgeWood Nursing Center

  • Canton Street, Roswell, Fulton, Georgia, 30075, United States

    ROSWELL, GA 300754240

    Phone: (770) 993-4000

    Fax: (904) 766-5749

    Type: Mailing

  • 1771, Edgewood Avenue West, Lake Park Estates, Jacksonville, Duval County, Florida, 32208, United States

    JACKSONVILLE, FL 322083278

    Phone: (904) 766-7436

    Fax: (904) 766-5749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30075)

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Reviews

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Frequently asked questions

Is EdgeWood Nursing Center listed with a National Provider Identifier?
Yes — EdgeWood Nursing Center has NPI 1962404905 on file in the registry.
Is EdgeWood Nursing Center shown as active in public data?
Registry records indicate EdgeWood Nursing Center maintains an active NPI.
What area of care is associated with EdgeWood Nursing Center?
EdgeWood Nursing Center's record emphasizes Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What locale is associated with EdgeWood Nursing Center?
Directory geography for EdgeWood Nursing Center centers on Roswell, Georgia.
Can I trust this NPI listing for EdgeWood Nursing Center?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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