Megan Fonclara

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12982 Issued in GA

Practice address

1669 Bridge Creek Rd
Tiger, GA 30576-2070

Phone

(706) 982-9487

NPI assigned

Nov 26, 2024

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Lakes Medical Center Hospital, Clayton, GA, CCN 111336

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: megan.fonclara.1@9864.direct.athenahealth.com
• Direct secure messaging: megan.fonclara@mgi.eclinicaldirectplus.com

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.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541
  Medicare reassignment Care Compare group NPD
• Medlink Georgia, Inc

  dba MedLink Commerce Family Foot Clinic

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1346299807
  NPD (past)
• Medlink Georgia Inc

  dba Medlink Colbert Building 2

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1669951414
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Professional Resources Management of Rabun, LLC

  dba Mountain Lakes Medical Center

  • Critical Access Hospital
  • Clayton, GA
  • NPI 1326191180
  Care Compare affiliation

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1316763014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 BRIDGE CREEK RD",
            "city": "TIGER",
            "state": "GA",
            "postal_code": "305762070",
            "telephone_number": "706-982-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 BRIDGE CREEK RD",
            "city": "TIGER",
            "state": "GA",
            "postal_code": "305762070",
            "telephone_number": "706-982-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONCLARA",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12982",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Ann Church
• Piper L Coffey, LCSW
• Shanda Danielle Henry, MS, LAT, ATC
• Elaina Noel Bristol Hinton, LMSW
• Andrea Curran Howell, FNP
• Tanya Ann Hunt, LPC
• Mending Minds Therapeutic Services, LLC

• Physician Assistant in Tiger, GA
• Providers in Tiger, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.