Individual provider Active NPI

Matthew Leone Meccia, D.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1558694281
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008540 Issued in GA
Practice address
139 Village Ctr W Ste 110
Woodstock, GA 30188-5434
Phone
(678) 744-6022
Fax
(770) 212-2020
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008540 GA Primary

Addresses

Primary practice location

139 Village Ctr W Ste 110
Woodstock, GA 30188-5434

Mailing address

139 Village Ctr W Ste 110
Woodstock, GA 30188-5434
Phone (678) 744-6022

Other identifiers 1

IdentifierTypeStateIssuer
461017081OtherGACHIR008540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000124 GA Practitioner - Chiropractic 7416123880 Reassigns benefits to 1 organization
Practice locations: Woodstock, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Village Ctr W
Suite 110
Woodstock, GA 30188-5434
Phone (678) 744-6022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activate Your Health Chiropractic and Wellness Center, LLC. Chiropractor CurrentSince Mar 15, 2013 Accepting new patients

Locations

1905 Woodstock Rd
Ste 7100
Roswell, GA 30075
Phone (678) 379-7882

139 Village Ctr W
Ste 110
Woodstock, GA 30188
Phone (676) 744-6022

Organizations & group practices 1

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1558694281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 VILLAGE CTR W STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885434",
            "telephone_number": "678-744-6022",
            "fax_number": "770-212-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 VILLAGE CTR W STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885434",
            "telephone_number": "678-744-6022",
            "fax_number": "770-212-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCIA",
        "first_name": "MATTHEW",
        "middle_name": "LEONE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIR008540",
            "identifier": "461017081",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.