Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwin B Tirado Jr., MD

Individual provider Internal Medicine Physician · NPI 1265428312

Edwin B Tirado Jr., MD is an Internal Medicine in Gainesville, Georgia. Qualified in 1997, 29 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1315 Jesse Jewell Pkwy NE Ste #110
Gainesville, GA 30501-3822
Phone: (770) 219-0023
Fax: (770) 219-0694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 061866 (GA)

Record details

NPI number1265428312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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