Doctor profile · Federal record
Dr. Josephine Ediale, M.D.
Pediatrics Physician · Villa Rica, GA
- NPI 1902880842
- 21 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
626 Dallas Hwy
Villa Rica, GA 301801209
(770) 459-9378
fax (770) 459-8613 - Mailing address
-
4480 Blue Ridge Drive
Douglasville, GA 301351800
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- October 7, 2014
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #050514
- Medicaid
- GA #000922732C
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902880842. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$38
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $37.52 |
By nature of payment
Frequently asked questions
What is Dr. Josephine Ediale's medical specialty?
Dr. Josephine Ediale practices Pediatrics Physician in Villa Rica, GA.
Where does Dr. Josephine Ediale practice?
Dr. Josephine Ediale practices at 626 Dallas Hwy, Villa Rica, GA 301801209. Office phone: 7704599378.
What is Dr. Josephine Ediale's NPI?
Dr. Josephine Ediale's National Provider Identifier (NPI) is 1902880842, issued by NPPES.