Individual provider Active NPI

Meera Thirumal

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1629759071
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN117952 Issued in GA
Practice address
203 Oakside LN Ste C
Canton, GA 30114-6407
Phone
(470) 410-7911
Fax
(470) 410-7912
NPI assigned
Jul 28, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN117952 GA Primary

Addresses

Primary practice location

203 Oakside LN Ste C
Canton, GA 30114-6407

Mailing address

PO Box 5554
Canton, GA 30114-0290
Phone (470) 410-7911

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
I20240126001808 GA Practitioner - Nurse Practitioner 1658724521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN117952GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truwell Healthcare Group Inc CurrentSince Feb 24, 2025 Accepting new patients
Healing Oaks LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

125 Oakside Ct
Ste 102
Canton, GA 30114
Phone (678) 583-0717

203 Oakside Ln
Ste C
Canton, GA 30114
Phone (470) 410-7911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1629759071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5554",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140290",
            "telephone_number": "470-410-7911",
            "fax_number": "470-410-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAKSIDE LN STE C",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146407",
            "telephone_number": "470-410-7911",
            "fax_number": "470-410-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUMAL",
        "first_name": "MEERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN117952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.