Individual provider Active NPI

Andrea Maclin Mealor, NP

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1386918316
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN209080 Issued in GA
Practice address
1270 Prince Ave
Suite 201
Athens, GA 30606
Phone
(706) 548-1388
NPI assigned
Mar 8, 2012
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001628 GA Practitioner - Nurse Practitioner 1052620259 Reassigns benefits to 1 organization

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
Athens Gastroenterology AssociationGroup PAC ID 8527070630, 6 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN209080GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Gastroenterology Association CurrentSince Sep 29, 2018 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.