Individual provider Active NPI

Megan Elbon, MD

  • Pediatrics Physician
  • Snellville, GA
National Provider Identifier
1306264783
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77873 Issued in GA
Practice address
1700 Tree LN Ste 110
Snellville, GA 30078-6749
Phone
(770) 972-0860
NPI assigned
Apr 2, 2014
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 77873 GA Primary

Addresses

Primary practice location

1700 Tree LN Ste 110
Snellville, GA 30078-6749

Mailing address

1700 Tree LN Ste 110
Snellville, GA 30078-6749
Phone (770) 972-0860

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77873GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Snellville Pediatrics, P.C. Pediatrics CurrentSince Jul 24, 2022 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Locations

1700 Tree Ln
Ste 110
Snellville, GA 30078
Phone (770) 972-0812

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1306264783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786749",
            "telephone_number": "770-972-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786749",
            "telephone_number": "770-972-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBON",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "77873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.