Individual provider

Edwidge Azor-antoine

Pediatric Nurse Practitioner Medicare enrolled

Edwidge Azor-antoine is a Pediatric Nurse Practitioner in Villa Rica, GA, registered under NPI 1740061209.

Getting there

The practice address on file is 626 DALLAS HWY, Villa Rica, GA 30180. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

626 DALLAS HWY, Villa Rica, GA 30180 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
302190 GA Pediatric Nurse Practitioner primary

This provider holds licence 302190 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
0042748626
Enrollment ID
I20250109003202

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatrics covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1740061209 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 11, 2023
Last updatedDec 3, 2025
StatusActive
Sole proprietorNo
Practice address 626 DALLAS HWY
Villa Rica, GA 30180
(770) 459-9378
Mailing address 100 GREENWAY BLVD STE C
Carrollton, GA 30117
This record was updated on Dec 3, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1740061209 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 4 0 0 6 1 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 8 0 0 6 2 2 0

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1740061209?
NPI 1740061209 is the National Provider Identifier assigned to Edwidge Azor-antoine in Villa Rica, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics cover?
Definition to come...
How do I contact Edwidge Azor-antoine?
The phone number on file with NPPES is (770) 459-9378, last updated Dec 3, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edwidge Azor-antoine accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1740061209 a valid number?
Yes. 1740061209 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.