Individual provider Active NPI

Thomas Milton Meadows, M.D.

  • Diagnostic Radiology Physician
  • Eastman, GA
National Provider Identifier
1033309778
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
059466 Issued in GA
Practice address
901 Griffin Ave
Eastman, GA 31023-6720
Phone
(478) 448-4000
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 059466 GA Primary

Addresses

Primary practice location

901 Griffin Ave
Eastman, GA 31023-6720

Mailing address

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 448-4000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000376 GA Practitioner - Diagnostic Radiology 0244324366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians

Practice addresses (Care Compare)

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

555 Highland Lakes Dr
Eastman, GA 31023-7283
Phone (888) 545-5551

901 Griffin Ave
Eastman, GA 31023-6720
Phone (912) 660-6220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059466GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Feb 16, 2020 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 16, 2020 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 7, 2013 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Optimal Readings Professional Services, LLC Diagnostic Radiology Past Accepting new patients

Locations

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1033309778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236720",
            "telephone_number": "478-448-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236720",
            "telephone_number": "478-448-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "THOMAS",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "059466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.