Active NPI
Margaret S. Minchew, P.A.
- Medical Physician Assistant
- Douglas, GA
National Provider Identifier
1508938531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002790
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002790 | Other | GA | PHYSICIAN ASSISTANT # |
| 100001771B | Medicaid | GA | |
| 11D0909097 | Other | GA | CLIA ID |
Other names 1
- Miss Margaret Stone
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
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRH Physician Practices LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Douglas, GA
- NPI 1710046073
-
- Surgery Physician
- Waycross, GA
- NPI 1154794857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.