Active NPI
Jennifer Meyer
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Canton, GA
National Provider Identifier
1710514989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT010709
- Practice address
- 1554 Riverstone Pkwy Ste 160
Canton, GA 30114-2887 - Phone
- (404) 785-4268
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | PT010709 | GA | Primary |
Addresses
Primary practice location
1554 Riverstone Pkwy Ste 160
Canton, GA 30114-2887
Mailing address
1554 Riverstone Pkwy Ste 160
Canton, GA 30114-2887
Phone (404) 785-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010709 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottish Rite Children's Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Children's Healthcare of Atlanta at Scottish Rite
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1710514989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 RIVERSTONE PKWY STE 160",
"city": "CANTON",
"state": "GA",
"postal_code": "301142887",
"telephone_number": "404-785-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 RIVERSTONE PKWY STE 160",
"city": "CANTON",
"state": "GA",
"postal_code": "301142887",
"telephone_number": "404-785-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "PT010709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.