Individual provider Active NPI

Meagan Chrisman, FNP

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1427855253
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN305616 Issued in GA
Practice address
874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659
Phone
(788) 331-4446
NPI assigned
Feb 28, 2025
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN305616 GA Primary

Addresses

Primary practice location

874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659

Mailing address

145 Ralston CT
Fayetteville, GA 30215-2543

Other practice location 1

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

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
I20250710002446 GA Practitioner - Nurse Practitioner 2668986563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians

Practice addresses (Care Compare)

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truffles Vein of Central Georgia LLC CurrentSince Jun 1, 2025 Accepting new patients
Truffles Vein Center, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

874 Lanier Ave W
Ste 120
Fayetteville, GA 30214
Phone (678) 833-1444

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1427855253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RALSTON CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 LANIER AVE W STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147659",
            "telephone_number": "788-331-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Highway 54 W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144526",
            "country_code": "US",
            "telephone_number": "770-719-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "MEAGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN305616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.