Active NPI
Andrea Maclin Mealor, NP
- Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN209080
- Practice address
- 1270 Prince Ave
Suite 201
Athens, GA 30606 - Phone
- (706) 548-1388
- NPI assigned
- Mar 8, 2012
- Last updated
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN209080 | GA | Primary |
Addresses
Primary practice location
1270 Prince Ave
Suite 201
Athens, GA 30606
Mailing address
PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114
Other practice location 1
3320 Old Jefferson Rd Ste 400
Athens, GA 30607-1463
Phone (706) 613-1625
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3320 Old Jefferson Rd
Suite 400
Athens, GA 30607-1463
Phone (706) 613-1625
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN209080 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Gastroenterology Association | Current | Accepting new patients |
Locations
3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262
209 Mercer Pl
Commerce, GA 30529
Phone (706) 583-9000
229 Athens St
Hartwell, GA 30643
Phone (706) 356-0591
367 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 613-1625
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Athens, GA
- NPI 1427015551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1386918316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80883",
"city": "ATHENS",
"state": "GA",
"postal_code": "306080883",
"telephone_number": "706-549-8114",
"fax_number": "706-993-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 PRINCE AVE",
"address_2": "SUITE 201",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-548-1388"
}
],
"practiceLocations": [
{
"address_1": "3320 Old Jefferson Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306071463",
"country_code": "US",
"telephone_number": "706-613-1625",
"fax_number": "706-613-1629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEALOR",
"first_name": "ANDREA",
"middle_name": "MACLIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN209080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.