Individual provider Active NPI

Megan Elizabeth Tinnin, M.D.

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1174937924
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77796 Issued in GA
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

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001819 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668768631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77796GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Pediatrics, P.C. Pediatrics CurrentSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.