Active NPI
Emily Kyle Meredith, PA-C, MS, ATC
- Physician Assistant
- Columbus, GA
National Provider Identifier
1285991877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2141
- Practice address
- 6262 Veterans Pkwy
Columbus, GA 31909-3540 - Phone
- (706) 494-3000
- NPI assigned
- Apr 19, 2012
- Last updated
- Feb 5, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2141 | TN | Primary |
Addresses
Primary practice location
6262 Veterans Pkwy
Columbus, GA 31909-3540
Mailing address
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 494-3000
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
- Credentials
- Master of Science, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1285991877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093540",
"telephone_number": "706-494-3000",
"fax_number": "706-494-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093540",
"telephone_number": "706-494-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "EMILY",
"middle_name": "KYLE",
"name_prefix": "Mrs.",
"credential": "PA-C, MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2141",
"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 Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.