NPIMap

Organization Active NPI

Meridian Education Resource Group, Inc.

Doing business as Whitefoord, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
National Provider Identifier
1528630654
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MERIDIAN EDUCATION RESOURCE GROUP, INC.
Doing business as
Whitefoord, Inc.
Practice address
1571 Donald Lee Hollowell Jr. Drive Ste 110
Atlanta, GA 30318-5049
Phone
(404) 373-6614
Fax
(404) 373-2926
NPI assigned
Jul 16, 2021
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Craig Tindall
Title
Ceo
Phone
(404) 693-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1571 Donald Lee Hollowell Jr. Drive Ste 110
Atlanta, GA 30318-5049

Mailing address

1353 George W Brumley Way SE
Atlanta, GA 30317-1743
Phone (404) 373-6614

Other names 1

  • Whitefoord, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103001447 GA Part A Provider - Federally Qualified Health Center (FQHC) 1456583723 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528630654. Details of each certification follow.

Federally qualified health center certification: CCN 851160

Legal name
MERIDIAN EDUCATION RESOURCE GROUP, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 11, 2021
Last certification
Nov 11, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 17, 1994 in GA
Enrollment address
1571 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-5049

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Whitefoord Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 Hosea Williams Dr SE
Atlanta, GA 30317
Phone (404) 373-2926

1571 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (404) 373-6614

1571 Donald Lee Hollowell Pkwy NW
Ste 110
Atlanta, GA 30318
Phone (404) 373-6614

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meridian Education Resource Group, Inc. Organization, Atlanta, GA Non-profit Operational/Managerial Control Nov 17, 1994 100%
Craig Tindall Individual Corporate OfficerCeo Oct 1, 2020 100%
W-2 Managing EmployeeCeo Oct 1, 2020
Operational/Managerial ControlCeo Oct 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Whitefoord, Inc.Atlanta, GA, CCN 111006 Federally qualified health center Operational/Managerial Control (100%) Nov 17, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1528630654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 GEORGE W BRUMLEY WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171743",
            "telephone_number": "404-373-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 DONALD LEE HOLLOWELL JR. DRIVE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185049",
            "telephone_number": "404-373-6614",
            "fax_number": "404-373-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN EDUCATION RESOURCE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-693-7565"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitefoord, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitefoord, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.