Individual provider Active NPI

Tenisha L. Meko, NP-C

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1356843528
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241316 Issued in GA
Practice address
3422 Sixes Rd Ste 102
Canton, GA 30114-9120
Phone
(943) 202-7670
Fax
(470) 986-7143
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 241316 GA
Family Nurse Practitioner 363LF0000X 241316 GA Primary

Addresses

Primary practice location

3422 Sixes Rd Ste 102
Canton, GA 30114-9120

Mailing address

3422 Sixes Rd Ste 102
Canton, GA 30114-9120
Phone (943) 202-7670

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203002334 GA Practitioner - Nurse Practitioner 1951737352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

14025 Hwy 92
Suite 105
Woodstock, GA 30188-7138
Phone (678) 293-7854

14205 Hwy 92
Woodstock, GA 30188-7138

3422 Sixes Rd
Suite 102
Canton, GA 30114-9120
Phone (943) 202-7670

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
241316GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NGX Lawrenceville Ga PC CurrentSince Jul 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Oct 12, 2025 Accepting new patients
Crawford Plastic Surgery PastSince Apr 10, 2008 Accepting new patients
CPS Infusion, LLC PastSince Feb 10, 2025 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777

2743 Chastain Meadows Pkwy
Marietta, GA 30066
Phone (678) 486-7777

Organizations & group practices 6

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1356843528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 SIXES RD STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149120",
            "telephone_number": "943-202-7670",
            "fax_number": "470-986-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 SIXES RD STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149120",
            "telephone_number": "943-202-7670",
            "fax_number": "470-986-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKO",
        "first_name": "TENISHA",
        "middle_name": "L.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "241316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "241316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.