Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396279717 Individual Practitioner Male Practitioner

Dr. Edwin Noel Centerwall , MD

Pediatrics • Dalton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Centerwall, MD is a registered healthcare professional specializing in Pediatrics in Dalton, GA. Practice services are available at 2918 E WALNUT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2918 E Walnut Ave

Dalton, GA 307218724

Telephone 7065294600
Associated Practice Facility / Clinic
🏢 Bright Pediatrics, Pc Facility NPI 1912224577

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dalton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Dalton, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 97174

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OR MD199003

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Kelli Welch , APRN BC

Nurse Practitioner - Family

NPI 1033258355

APRNBC

NPI 1063145357

Doctor of Medicine (M.D.)

Deirdre Ensley , FNP, BC

Nurse Practitioner - Family

NPI 1083814222

Family Nurse Practitioner, BC

NPI 1194736173

Doctor of Medicine (M.D.)

NPI 1225490923

Doctor of Medicine (M.D.)

Kaylee Keener , RN

Nurse Practitioner - Family

NPI 1427756758

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 08, 2024

Registered at 2918 E WALNUT AVE, DALTON, GA 307218724 (Tel: 7065294600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Business Mailing Address February 20, 2024

Registered at 2918 E WALNUT AVE, DALTON, GA 307218724 (Tel: 7065294600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2024

Pediatrics (License #MD199003 in OR)

📍
Updated Practice Location September 28, 2020

Registered at 435 LANCASTER DR NE, SALEM, OR 973014729 (Tel: 5035856388)

📍
Updated Business Mailing Address September 28, 2020

Registered at 435 LANCASTER DR NE, SALEM, OR 973014729 (Tel: 5035856388)

👤
Provider Name / Credentials Updated September 28, 2020

Recorded as EDWIN CENTERWALL, M.D.

NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2017

Registered at 11234 ANDERSON ST, LOMA LINDA, CA 923542804 (Tel: 9095584174)

📍
Updated Business Mailing Address April 17, 2017

Registered at 11234 ANDERSON ST., GME OFFICE, WESTERLY SUITE 'C', LOMA LINDA, CA 923542804 (Tel: 9096743565)

👤
Provider Name / Credentials Updated April 17, 2017

Recorded as EDWIN OSORNIO CENTERWALL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396279717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2017
Last Update: April 08, 2024
Sole Proprietor: Yes

Mailing Address

2918 E Walnut Ave

Dalton, GA 307218724

Phone: 7065294600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.