Active NPI
Megan Elizabeth Tinnin, M.D.
- Pediatrics Physician
- Columbus, GA
National Provider Identifier
1174937924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 77796
- Practice address
- 2416 Capstone CT
Columbus, GA 31909-2795 - Phone
- (706) 327-1281
- NPI assigned
- Jun 19, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 77796 | GA | Primary |
Addresses
Primary practice location
2416 Capstone CT
Columbus, GA 31909-2795
Mailing address
2416 Capstone CT
Columbus, GA 31909-2795
Other practice location 1
14 Medical Park Ste 400
Pediatric Outpatient Center
Columbia, SC 29203
Phone (803) 434-6155
Other practice location 2
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone (706) 787-9355
Other practice location 3
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160831001819 | SC | Order and Referring Only - Pediatric Medicine | 2668768631 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77796 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivertown Pediatrics, P.C. | Pediatrics | Current | Accepting new patients |
Locations
2416 Capstone Ct
Columbus, GA 31909
Phone (706) 327-1281
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.
-
- Pediatrics Physician
- Columbus, GA
- NPI 1346336203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1174937924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 CAPSTONE CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 CAPSTONE CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092795",
"telephone_number": "706-327-1281"
}
],
"practiceLocations": [
{
"address_1": "14 Medical Park Ste 400",
"address_2": "Pediatric Outpatient Center",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W Hospital Rd",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "309055741",
"country_code": "US",
"telephone_number": "706-787-9355",
"fax_number": "706-787-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-3066",
"fax_number": "253-968-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINNIN",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "77796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.