Individual provider Active NPI

Margaret S. Minchew, P.A.

  • Medical Physician Assistant
  • Douglas, GA
National Provider Identifier
1508938531
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002790 Issued in GA
Practice address
2010 Ocilla Rd
Douglas, GA 31533-2230
Phone
(912) 384-1477
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002790 GA Primary

Addresses

Primary practice location

2010 Ocilla Rd
Douglas, GA 31533-2230

Mailing address

11 Cross St
Hazlehurst, GA 31539
Phone (912) 384-2500

Other practice location 1

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 384-2500

Other identifiers 3

IdentifierTypeStateIssuer
002790OtherGAPHYSICIAN ASSISTANT #
100001771BMedicaidGA
11D0909097OtherGACLIA ID

Other names 1

  • Miss Margaret Stone Former name

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
I20080520000400 GA Practitioner - Physician Assistant 0244309037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-5832

2010 Ocilla Rd
Douglas, GA 31533-2230
Phone (912) 384-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CRH Physician Practices LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margaret.minchew.1@9964.direct.athenahealth.com

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508938531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CROSS ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "31539",
            "telephone_number": "912-384-2500",
            "fax_number": "912-383-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332230",
            "telephone_number": "912-384-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "fax_number": "912-383-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINCHEW",
        "first_name": "MARGARET",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT #",
            "identifier": "002790",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001771B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "11D0909097",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "STONE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.