Individual provider Active NPI

Megan Irene Smith, NP

  • Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1003469677
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN273431 Issued in GA
Practice address
1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Phone
(770) 844-0877
Fax
(770) 844-0891
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN273431 GA Primary

Addresses

Primary practice location

1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017

Mailing address

1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Phone (770) 844-0877

Other names 1

  • Megan Irene Bueltel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210001895 GA Practitioner - Nurse Practitioner 2365875093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Family Practice, LLCGroup PAC ID 7315967148, 8 clinicians

Practice addresses (Care Compare)

1400 Northside Forsyth Dr
Suite 240
Cumming, GA 30041-6017
Phone (770) 844-0877

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
98.21
Improvement activities
40
Cost
62.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN273431GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Family Practice, LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

1400 Northside Forsyth Dr
Ste 240
Cumming, GA 30041
Phone (770) 292-3045

1505 Northside Blvd
Ste 2600
Cumming, GA 30041
Phone (678) 208-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFGCA/Endpoint/EEFGCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1003469677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416017",
            "telephone_number": "770-844-0877",
            "fax_number": "770-844-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416017",
            "telephone_number": "770-844-0877",
            "fax_number": "770-844-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "IRENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN273431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BUELTEL",
            "middle_name": "IRENE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.