NPIMap

Organization Active NPI

Meridian Education Resource Group, Inc.

Doing business as Whitefoord, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
National Provider Identifier
1144811274
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MERIDIAN EDUCATION RESOURCE GROUP, INC.
Doing business as
Whitefoord, Inc.
Practice address
545 Hill St SE
Atlanta, GA 30312-3051
Phone
(404) 373-6614
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Craig Johnson Tindall
Title
Ceo
Phone
(404) 693-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

545 Hill St SE
Atlanta, GA 30312-3051

Mailing address

1353 George W Brumley Way SE
Atlanta, GA 30317-1743
Phone (404) 693-7565

Other identifiers 1

IdentifierTypeStateIssuer
918809059BMedicaidGA

Other names 1

  • Whitefoord, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meridian Education Resource6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

545 Hill St SE
Atlanta, GA 30312
Phone (404) 373-6614

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1144811274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 GEORGE W BRUMLEY WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171743",
            "telephone_number": "404-693-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HILL ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123051",
            "telephone_number": "404-373-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN EDUCATION RESOURCE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-693-7565"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918809059B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitefoord, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitefoord, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 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.

Verify at the official NPI Registry.