Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marshall Craig Edwards, PA-C

Individual provider Physician Assistant · NPI 1104899350

Mr. Marshall Craig Edwards, PA-C is a Physician Assistant in Macon, Georgia. Qualified in 1996, 30 years ago. Practices with Southland Optim Jenkins Emergency Medical Services, LLC, a 19-clinician group. Licensed in Georgia.

Years since qualifying
30
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 633-2761
Fax: (478) 633-7423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3732 (GA)

Record details

NPI number1104899350
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 8, 2006
Last updated in NPPESMay 18, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southland Optim Jenkins Emergency Medical Services, Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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