Active NPI
Angela Dawn Meeks, NP
- Family Nurse Practitioner
- Monroe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 160664
- Practice address
- 1390 W Spring St
Monroe, GA 30655-1759 - Phone
- (770) 266-6191
- Fax
- (770) 266-6707
- NPI assigned
- Aug 3, 2015
- Last updated
- Jan 14, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 160664 | GA | Primary |
Addresses
Primary practice location
1390 W Spring St
Monroe, GA 30655-1759
Mailing address
10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Other practice location 1
2327 Winder Hwy
Dacula, GA 30019-2205
Phone (770) 962-0054
Other practice location 2
175 N Broad St
Winder, GA 30680-2153
Phone (770) 868-1144
Other practice location 3
5196 Highway 53
Braselton, GA 30517-3112
Phone (706) 824-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003165649 | Medicaid | GA |
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1390 W Spring St
Monroe, GA 30655-1759
Phone (770) 266-6191
175 N Broad St
Winder, GA 30680-2153
Phone (770) 868-1144
475 Philip Blvd
Lawrenceville, GA 30046-8736
475 Philip Blvd
Lawrenceville, GA 30046-8737
5196 Hwy 53
Braselton, GA 30517-3112
Phone (706) 824-9929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160664 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic, LTD | Current | Accepting new patients | |
| Gwinnett Clinic LTD | Current | Accepting new patients | |
| Gwinnett Clinic, LTD | Current | Accepting new patients |
Locations
5196 Highway 53
Braselton, GA 30517
Phone (706) 824-9929
2327 Winder Hwy
Dacula, GA 30019
Phone (770) 962-0054
10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818
475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202
1390 W Spring St
Monroe, GA 30655
Phone (770) 266-6191
175 N Broad St
Winder, GA 30680
Phone (770) 868-1144
Interoperability endpoints
- angela.meeks.1@32352.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1952676496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673654400000",
"number": "1467838334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MEDLOCK BRIDGE RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 W SPRING ST",
"city": "MONROE",
"state": "GA",
"postal_code": "306551759",
"telephone_number": "770-266-6191",
"fax_number": "770-266-6707"
}
],
"practiceLocations": [
{
"address_1": "2327 Winder Hwy",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300192205",
"country_code": "US",
"telephone_number": "770-962-0054",
"fax_number": "770-962-1747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 N Broad St",
"address_purpose": "LOCATION",
"city": "Winder",
"state": "GA",
"postal_code": "306802153",
"country_code": "US",
"telephone_number": "770-868-1144",
"fax_number": "770-868-1276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5196 Highway 53",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305173112",
"country_code": "US",
"telephone_number": "706-824-9929",
"fax_number": "706-654-9373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEEKS",
"first_name": "ANGELA",
"middle_name": "DAWN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2023-01-14",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "160664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003165649",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.