Active NPI
Meagan Gibbs, MA
- Behavior Analyst
- Woodstock, GA
National Provider Identifier
1558967968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-46239
- Practice address
- 9940 Ga 92
Woodstock, GA 30188 - Phone
- (470) 361-2000
- NPI assigned
- Dec 10, 2020
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-46239 | GA | Primary |
Addresses
Primary practice location
9940 Ga 92
Woodstock, GA 30188
Mailing address
399 Shady Brook Dr
Canton, GA 30114-8582
Phone (404) 493-1040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1558967968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 SHADY BROOK DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301148582",
"telephone_number": "404-493-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 GA 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188",
"telephone_number": "470-361-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "MEAGAN",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-20-46239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Georgia Physical Therapy & Sports Medicine Center
- Georgia Urgent Care, - Alpharetta, LLC
- Georgia Urology PA
- Georgia Vision Professionals LLC
- Felicia Michelle Gibbs, LMSW
- Elijah Nicholas Gilbert, M.D.
- Zana Panchana Giler, RBT
- Katherine Rebecca Gilliam, MOT, OTR/L
- Jamie Gillis, P.A.
- Lili D Gipson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.