Individual provider Active NPI

Angela Dawn Meeks, NP

  • Family Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1467838334
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
160664 Issued in GA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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 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

IdentifierTypeStateIssuer
003165649MedicaidGA

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
I20151120000437 GA Practitioner - Nurse Practitioner 5294035457 Reassigns benefits to 1 organization

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
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

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

LicenseStateTypeSpecialty
160664GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD CurrentSince Aug 25, 2015 Accepting new patients
Gwinnett Clinic LTD Current Accepting new patients
Gwinnett Clinic, LTD CurrentSince Aug 25, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.