Active NPI
Meighan Phillips Ryan, LMSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1073200648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW009872
- Practice address
- 1095 Sims St SW
Atlanta, GA 30310-3159 - Phone
- (229) 400-7696
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW009872 | GA | Primary |
Addresses
Primary practice location
1095 Sims St SW
Atlanta, GA 30310-3159
Mailing address
1095 Sims St SW
Atlanta, GA 30310-3159
Phone (229) 400-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009872 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1073200648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 SIMS ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303103159",
"telephone_number": "229-400-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 SIMS ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303103159",
"telephone_number": "229-400-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MEIGHAN",
"middle_name": "PHILLIPS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW009872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.