Tracy Meachem

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

867 Commerce Dr SW
Conyers, GA 30094-6604

Phone

(770) 679-4043

NPI assigned

Nov 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1497462915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 COMMERCE DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946604",
            "telephone_number": "770-679-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 COMMERCE DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946604",
            "telephone_number": "770-679-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHEM",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tracymeachem@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "tracymeachem@bellsouth.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "867 Commerce Dr SW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300946604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.