Active NPI
Megan E Mizell, FNP-BC
- Family Medicine Physician
- Jesup, GA
National Provider Identifier
1255706446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN211371
- Practice address
- 391 S 1St St
Jesup, GA 31545-1132 - Phone
- (912) 427-8433
- NPI assigned
- Dec 14, 2015
- Last updated
- Jan 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN211371 | GA | Primary |
Addresses
Primary practice location
391 S 1St St
Jesup, GA 31545-1132
Mailing address
2730 US Highway 441 N
Pearson, GA 31642-4839
Phone (912) 422-4839
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN211371 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1255706446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 US HIGHWAY 441 N",
"city": "PEARSON",
"state": "GA",
"postal_code": "316424839",
"telephone_number": "912-422-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 S 1ST ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315451132",
"telephone_number": "912-427-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZELL",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-14",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN211371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.