Individual provider Active NPI

Meredith Carr, APRN

  • Primary Care Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1720634397
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN220163 Issued in GA
Practice address
3121 Peach Orchard Rd Ste 103
Augusta, GA 30906-3531
Phone
(706) 792-5057
NPI assigned
Aug 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN220163 GA Primary

Addresses

Primary practice location

3121 Peach Orchard Rd Ste 103
Augusta, GA 30906-3531

Mailing address

3121 Peach Orchard Rd Ste 103
Augusta, GA 30906-3531
Phone (706) 792-5057

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106001776 GA Practitioner - Nurse Practitioner 2163856832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta ENT PCGroup PAC ID 9537156484, 24 clinicians

Practice addresses (Care Compare)

4975 Gateway Blvd
Grovetown, GA 30813-3439
Phone (706) 868-5676

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC CurrentSince Jun 1, 2024 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Sep 1, 2023 Accepting new patients
University Medical Group LLC CurrentSince Oct 27, 2019 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Jan 20, 2024 Accepting new patients
Augusta ENT PC CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Uh Internal Medicine Partners Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

4975 Gateway Blvd
Grovetown, GA 30813

660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201

804 Scott Nixon Memorial Dr
Martinez, GA 30907

170 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

Organizations & group practices 7

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": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1720634397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 PEACH ORCHARD RD STE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063531",
            "telephone_number": "706-792-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PEACH ORCHARD RD STE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063531",
            "telephone_number": "706-792-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MEREDITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN220163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.