Individual provider Active NPI

Meredith Cook Stokes

  • Pediatric Occupational Therapist
  • Martinez, GA
National Provider Identifier
1376741694
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
004585 Issued in GA
Practice address
103 Maple Dr
#8
Martinez, GA 30907-4283
Phone
(706) 364-5262
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 004585 GA Primary

Addresses

Primary practice location

103 Maple Dr
#8
Martinez, GA 30907-4283

Mailing address

103 Maple Dr.
#8
Martinez, GA 30907
Phone (706) 364-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001705 GA Practitioner - Occupational Therapist in Private Practice 1355779307 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

255 Vaughn Dr
Alpharetta, GA 30009-2415
Phone (770) 521-9707

3725 Wheeler Rd
Augusta, GA 30909-6623
Phone (706) 364-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004585GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Mar 2, 2020 Accepting new patients
Legacy Healthcare Services, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC CurrentSince Mar 1, 2023 Accepting new patients
Au Medical Center, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Au Medical Center, Inc CurrentSince Feb 20, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Ducktails Pediatric Therapy and Wellness Inc Pediatrics PastSince May 25, 2021 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

100 Washington Commons Dr
Evans, GA 30809
Phone (706) 426-8136

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

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 8

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1376741694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAPLE DR.",
            "address_2": "#8",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-364-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAPLE DR",
            "address_2": "#8",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074283",
            "telephone_number": "706-364-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "MEREDITH",
        "middle_name": "COOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.