Organization Active NPI

Stephen Neil Meyers MD PC

Doing business as S Neil Meyers MD PC

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1730395039
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022841 Issued in GA
Legal business name
STEPHEN NEIL MEYERS MD PC
Doing business as
S Neil Meyers MD PC
Practice address
2704 North Oak Street
Building M
Valdosta, GA 31602-1791
Phone
(229) 333-0504
Fax
(229) 333-0150
NPI assigned
May 15, 2007
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Stephen Neil Meyers, MD
Title
President
Phone
(229) 333-0504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022841 GA Primary
Occupational Medicine Physician 2083X0100X 022841 GA

Addresses

Primary practice location

2704 North Oak Street
Building M
Valdosta, GA 31602-1791

Mailing address

PO Box 3131
Valdosta, GA 31604-3131
Phone (229) 333-0504

Other identifiers 3

IdentifierTypeStateIssuer
00253096HMedicaidGA
A002OtherGATRICARE
202G086627OtherGAMEDICARE PTAN

Other names 1

  • S Neil Meyers MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091112000235 GA Part B Supplier - Clinic/Group Practice 9830237858 Receives reassigned benefits from 1 practitioner
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Locations

2704 N Oak St
Valdosta, GA 31602
Phone (229) 247-2122

2704 N Oak St
Bldg M
Valdosta, GA 31602
Phone (229) 333-0504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1730395039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3131",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043131",
            "telephone_number": "229-333-0504",
            "fax_number": "229-333-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 NORTH OAK STREET",
            "address_2": "BUILDING M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021791",
            "telephone_number": "229-333-0504",
            "fax_number": "229-333-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN NEIL MEYERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-333-0504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022841",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "022841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00253096H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G086627",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Neil Meyers MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.