Active NPI
Meredith Lynne Pickett, DO
- Hospice and Palliative Medicine (Family Medicine) Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 83627
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9179
- NPI assigned
- Jun 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L3312.R | AL | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 83627 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
2400 East Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808
Other names 1
- Ms. Meredith Lynne Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpickett101591@nghs.gadirect.net | Direct |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014000577 | GA | Practitioner - Hospice/Palliative Care | 0143479162 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- West Virginia School of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tanner Medical Group Inc
Practice addresses (Care Compare)
690 Dallas Hwy
Villa Rica, GA 30180-1263
690 Dallas Hwy 207a
Villa Rica, GA 30180-1263
Phone (770) 456-3646
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3312.R | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Family Medicine | Current | Accepting new patients |
| Avalon Medical Group | Family Medicine | Current | Accepting new patients |
| Avalon Medical Group | Family Medicine | Current | Accepting new patients |
Locations
2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808
2400 Avalon Ave
Ste C
Muscle Shoals, AL 35661
Phone (256) 386-0808
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
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.
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
Family Medicine, GA
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Family Medicine, GA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1659634830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9179"
}
],
"practiceLocations": [
{
"address_1": "2400 East Ave",
"address_purpose": "LOCATION",
"city": "Muscle Shoals",
"state": "AL",
"postal_code": "35661",
"country_code": "US",
"telephone_number": "256-386-0808",
"fax_number": "256-389-8904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKETT",
"first_name": "MEREDITH",
"middle_name": "LYNNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "L3312.R",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "83627",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpickett101591@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "WILLIAMS",
"middle_name": "LYNNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.