Individual provider Active NPI

Megan Stidham, N.P.

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1437586401
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN206090 Issued in GA
Practice address
1244 Park Vista Dr NE
Atlanta, GA 30319-5372
Phone
(859) 221-3182
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 RN206090 GA Primary

Addresses

Primary practice location

1244 Park Vista Dr NE
Atlanta, GA 30319-5372

Mailing address

1244 Park Vista Dr NE
Atlanta, GA 30319-5372
Phone (859) 221-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170427000776 MD Practitioner - Nurse Practitioner 6901183011 Reassigns benefits to 1 organization
Practice locations: Severna Park, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Ritchie Hwy
Pasadena, MD 21122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN206090GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Chesapeake, Inc CurrentSince Apr 4, 2017 Accepting new patients
Hospice of the Chesapeake, Inc CurrentSince Apr 4, 2017 Accepting new patients

Locations

90 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 987-2003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1437586401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 PARK VISTA DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303195372",
            "telephone_number": "859-221-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PARK VISTA DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303195372",
            "telephone_number": "859-221-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "MEGAN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.