Individual provider Active NPI

Meagan Huff Braswell

  • Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1457984130
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN280912 Issued in GA
Practice address
5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009
Phone
(404) 255-2033
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN280912 GA Primary

Addresses

Primary practice location

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009

Mailing address

2481 Maclaren Cir
Atlanta, GA 30360-1629

Other practice location 1

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009
Phone (404) 255-2033

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
I20230914000247 GA Practitioner - Nurse Practitioner 2961866678

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ear, Nose, & Throat of Atlanta, PC PastSince Feb 23, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1457984130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 MACLAREN CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARKS RD STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423009",
            "telephone_number": "404-255-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5461 Meridian Marks Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303423009",
            "country_code": "US",
            "telephone_number": "404-255-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "MEAGAN",
        "middle_name": "HUFF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN280912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.