Individual provider Active NPI

Audrey Meah

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1316247620
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007581 Issued in GA
Practice address
15117 Skyline LN NE
Atlanta, GA 30345-7911
Phone
(313) 657-7612
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007581 GA Primary

Addresses

Primary practice location

15117 Skyline LN NE
Atlanta, GA 30345-7911

Mailing address

15117 Skyline LN NE
Atlanta, GA 30345-7911
Phone (313) 657-7612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719001298 GA Practitioner - Clinical Social Worker 3779029327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007581GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Pinnacle Behavioral Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

Interoperability endpoints

  • Direct secure messaging: audreymeah@tdh.allscriptsdirect.net
  • Direct secure messaging: audrey.meah.1@30520.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1316247620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15117 SKYLINE LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303457911",
            "telephone_number": "313-657-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15117 SKYLINE LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303457911",
            "telephone_number": "313-657-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAH",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.