Individual provider Active NPI

Meredith Holley Redden, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1154553980
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
003882 Issued in GA
Practice address
303 Parkway Dr NE
Residency Department, Surgery
Atlanta, GA 30312-1212
Phone
(404) 265-4000
Fax
(404) 265-3903
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 003882 GA Primary

Addresses

Primary practice location

303 Parkway Dr NE
Residency Department, Surgery
Atlanta, GA 30312-1212

Mailing address

303 Parkway Dr NE
Residency Department, Surgery
Atlanta, GA 30312-1212

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
I20140623002404 GA Practitioner - General Surgery 6204050842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Care SpecialistsGroup PAC ID 8123014297, 13 clinicians

Practice addresses (Care Compare)

975 Johnson Ferry Rd
Suite 500
Atlanta, GA 30342-4737
Phone 4042558086208

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
Quality
62.5
Improvement activities
40
Cost
73.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy24
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003882GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Surgery CurrentSince Jul 1, 2014 Accepting new patients
Breast Care Specialists Surgery CurrentSince Jun 1, 2015 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

3180 North Point Pkwy
Ste 203
Alpharetta, GA 30005
Phone (404) 255-8086

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

975 Johnson Ferry Rd
Ste 5
Atlanta, GA 30342
Phone (404) 255-8086

975 Johnson Fy Rd NE
Ste 500
Sandy Springs, GA 30342
Phone (404) 255-8086

975 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 255-8086

Interoperability endpoints

  • Direct secure messaging: meredithredden@etpa.allscriptsdirect.net
  • Direct secure messaging: meredithredden@bcsllc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1154553980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "RESIDENCY DEPARTMENT, SURGERY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "RESIDENCY DEPARTMENT, SURGERY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4000",
            "fax_number": "404-265-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "MEREDITH",
        "middle_name": "HOLLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "003882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.