Active NPI
Megan Irene Smith, NP
- Nurse Practitioner
- Cumming, GA
National Provider Identifier
1003469677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN273431
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 98.21
- Improvement activities
- 40
- Cost
- 62.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN273431 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Family Practice, LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.