Glen A Megran, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004845 Issued in GA

Practice address

840 Pine St Ste 500
Macon, GA 31201-7530

Phone

(478) 633-8682

Fax

(478) 633-8698

NPI assigned

Aug 21, 2006

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group NPD
• Central Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Macon, GA
  • NPI 1598126641
  Medicare reassignment
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482
  Medicare reassignment
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)
• Unadilla Health Care Center Inc

  dba UnaHealth

  • Public Health or Welfare Agency
  • Unadilla, GA
  • NPI 1164465787
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1659487007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 500",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017530",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 500",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017530",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGRAN",
        "first_name": "GLEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medplus Immediate Care
• Medport Transportation
• Medrad, LLC
• Robert Adam Medrzycki, PT
• Medway Emergency Medical Services Inc.
• David M Melikian, PHARM.D.
• Heather Woodward Melvin, CNS
• Jessica Lyn Menard, PA-C
• Jonathan Allen Mendez, LPC
• Isabella Rosa Mendiola, RBT

• Medical Physician Assistant in Macon, GA
• Providers in Macon, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.