Active NPI
Meredith 3108045586 Berryman
- Point of Service
- Alpharetta, GA
National Provider Identifier
1164015111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Practice address
- 3544 Strath Dr
Alpharetta, GA 30005-2802 - Phone
- (310) 804-5586
- NPI assigned
- Feb 19, 2021
- 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 |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
3544 Strath Dr
Alpharetta, GA 30005-2802
Mailing address
3544 Strath Dr
Alpharetta, GA 30005-2802
Phone (310) 804-5586
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Alpharetta |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucror Health | Point of Service | Current | Accepting new patients |
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": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1164015111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 STRATH DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300052802",
"telephone_number": "310-804-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 STRATH DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300052802",
"telephone_number": "310-804-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYMAN",
"first_name": "MEREDITH",
"middle_name": "3108045586",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Alpharetta",
"affiliation": "N",
"address_1": "3544 Strath Dr",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300052802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.