Individual provider Active NPI

Jeremy Neil Meisel, MD

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1679513865
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
220035 Issued in NY
Practice address
1579 Monroe Dr NE Ste F
Ste F 602
Atlanta, GA 30324-5022
Phone
(215) 243-2938
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 220035 NY Primary
Neurology Physician 2084N0400X MD 425502 PA
Neurology Physician 2084N0400X 10177 ND
Clinical Neurophysiology Physician 2084N0600X 052786 GA

Addresses

Primary practice location

1579 Monroe Dr NE Ste F
Ste F 602
Atlanta, GA 30324-5022

Mailing address

1579 Monroe Dr NE Ste F
Ste F 602
Atlanta, GA 30324-5022
Phone (215) 243-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041115000077 GA Practitioner - Neurology 6204890817 Reassigns benefits to 2 organizations
I20050201000538 PA Practitioner - Neurology 6204890817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305

1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104

1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194

1111 Franklin St
Johnstown, PA 15905-4341

2713 Charles Hardy Pkwy
Suite 221
Dallas, GA 30157-9470
Phone (678) 501-5420

4904 Timber Ridge Dr
Suite 305
Douglasville, GA 30135-1828

4904 Timber Ridge Dr
Suite 305
Douglasville, GA 30135-1831
Phone (678) 501-5420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220035NYMDLicensed Practical Nurse
10177NDMDNeurology Physician
MD 425502PAMDNeurology Physician
052786GAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Feb 29, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Jeremy Meisel MD LLC Neurology CurrentSince Aug 19, 2013 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1579 Monroe Dr NE
Ste F
Atlanta, GA 30324
Phone (313) 598-7752

2713 Charles Hardy Pkwy
Ste 221
Dallas, GA 30157
Phone (678) 501-5420

4904 Timber Ridge Dr
Ste 305
Douglasville, GA 30135
Phone (678) 501-5420

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

1450 Scalp Ave
Fl 3
Johnstown, PA 15904

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: jeremymeisel@an.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1679513865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 MONROE DR NE STE F",
            "address_2": "STE F 602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245022",
            "telephone_number": "215-243-2938",
            "fax_number": "215-243-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 MONROE DR NE STE F",
            "address_2": "STE F 602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245022",
            "telephone_number": "215-243-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "JEREMY",
        "middle_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "220035",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD 425502",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "10177",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "052786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.