Active NPI
Meleesa Geathers
- Contractor
- Phenix City, AL
National Provider Identifier
1093371940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- G362556767510
- Practice address
- 8 Clayton CT
Phenix City, AL 36869-3462 - Phone
- (863) 473-2052
- NPI assigned
- May 16, 2019
- Last updated
- May 16, 2019
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | G362556767510 | FL | Primary |
Addresses
Primary practice location
8 Clayton CT
Phenix City, AL 36869-3462
Mailing address
8 Clayton CT
Phenix City, AL 36869-3462
Phone (863) 473-2052
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 |
|---|---|---|---|
| G362556767510 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1093371940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CLAYTON CT",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368693462",
"telephone_number": "863-473-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CLAYTON CT",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368693462",
"telephone_number": "863-473-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEATHERS",
"first_name": "MELEESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "G362556767510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
- Tiffani Marie Fulmer, PHARMD
- Kimberly Ann Funches-Jackson, M.D.
- Justin Lee Fussell, PHARMD
- Jocelyn Galang-Ray, DDS
- Gary Keogh, MD, LLC
- Emily Roden Gentry, PHARMD
- Georgia Home Medical-Columbus Inc (Georgia Home Medical)
- Ghali Ghali, DDS Professinal LLC
- Jon Christopher Gibbs Jr., MD
- Alexander Glass, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.