Active NPI
Erik Brandon Meeker, PT, DPT
- Physical Therapist
- Johns Creek, GA
National Provider Identifier
1063966083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012510
- Practice address
- 11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097-2505 - Phone
- (678) 364-7195
- Fax
- (678) 681-9034
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012510 | GA | Primary |
Addresses
Primary practice location
11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097-2505
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mercer University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6635 Roswell Rd
Atlanta, GA 30328-3103
Phone (678) 332-2030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012510 | GA | MD | Physical Therapist |
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": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1063966083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 MEDLOCK BRIDGE RD STE 550",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972505",
"telephone_number": "678-364-7195",
"fax_number": "678-681-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "ERIK",
"middle_name": "BRANDON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-08",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.