Individual provider Active NPI

Thomas Meridieth

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1649855776
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028735 Issued in OH
Practice address
1055 Howell Mill Rd NW
Atlanta, GA 30318-5557
Phone
(866) 849-0692
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP031897 PA
Family Nurse Practitioner 363LF0000X 313836 AZ
Family Nurse Practitioner 363LF0000X 4031767 KY
Family Nurse Practitioner 363LF0000X 10036294 OR
Family Nurse Practitioner 363LF0000X AP61639599 WA
Family Nurse Practitioner 363LF0000X GAA-NP002933 GA
Family Nurse Practitioner 363LF0000X 86262 NM
Emergency Registered Nurse 163WE0003X 435287 OH
Family Nurse Practitioner 363LF0000X 3-002030 AL
Family Nurse Practitioner 363LF0000X 29667 SC
Family Nurse Practitioner 363LF0000X LG-0013466 DE
Family Nurse Practitioner 363LF0000X C-APN.0103491-C-NP CO
Family Nurse Practitioner 363LF0000X APRN.CNP.0028735 OH Primary
Family Nurse Practitioner 363LF0000X 1030202 FL
Family Nurse Practitioner 363LF0000X 1153196 TX

Addresses

Primary practice location

1055 Howell Mill Rd NW
Atlanta, GA 30318-5557

Mailing address

PO Box 211699
Eagan, MN 55121
Phone (866) 849-0692

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-4354

Other practice location 2

1 Perimeter Park S Ste 195A
Birmingham, AL 35243-2327
Phone (866) 849-0692

Other practice location 3

16435 North Scottsdale Rd
suite 285
Scottsdale, AZ 85254
Phone (866) 849-0692

Other practice location 4

20405 State Highway 249
suite 325
Houston, TX 77070-2893
Phone (866) 849-0692

Other practice location 5

880 Southwest 145th Ave
suite 202
Pembroke Pines, FL 33027
Phone (866) 849-0692

Other practice location 6

220 N Main St Ste 500
Greenville, SC 29601-2129
Phone (866) 849-0692

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Toledo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, FL, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210722002072 OH Practitioner - Nurse Practitioner 5698178085 Reassigns benefits to 1 organization
I20241029002418 AZ Practitioner - Nurse Practitioner 5698178085 Reassigns benefits to 1 organization
I20241031000438 FL Practitioner - Nurse Practitioner 5698178085 Reassigns benefits to 1 organization
I20241105000962 TX Practitioner - Nurse Practitioner 5698178085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3-002030ALMDFamily Nurse Practitioner
C-APN.0103491-C-NPCOMDFamily Nurse Practitioner
LG-0013466DEMDFamily Nurse Practitioner
1030202FLMDFamily Nurse Practitioner
GAA-NP002933GAMDFamily Nurse Practitioner
4031767KYMDFamily Nurse Practitioner
86262NMMDFamily Nurse Practitioner
10036294ORMDFamily Nurse Practitioner
SP031897PAMDFamily Nurse Practitioner
29667SCMDFamily Nurse Practitioner
AP61639599WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Inc CurrentSince Oct 22, 2024 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Oct 22, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Oct 23, 2024 Accepting new patients
Fairwood Chiropractic & Physical Therapy PastSince Aug 1, 2022 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

1055 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 566-6071

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

Organizations & group practices 4

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1649855776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185557",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-4354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Perimeter Park S Ste 195A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352432327",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16435 North Scottsdale Rd",
            "address_2": "suite 285",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85254",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20405 State Highway 249",
            "address_2": "suite 325",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770702893",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Southwest 145th Ave",
            "address_2": "suite 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33027",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 N Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012129",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERIDIETH",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313836",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4031767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10036294",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61639599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "86262",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "435287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013466",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0103491-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028735",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1030202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Toledo",
            "affiliation": "N",
            "address_1": "2213 Cherry St",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436082603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.