Individual provider Active NPI

Meghan Elizabeth Doyle, VA

  • Developmental - Behavioral Pediatrics Physician
  • Kilmarnock, VA
National Provider Identifier
1750540340
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
52205 Issued in SC
Practice address
86 Harris Rd
Kilmarnock, VA 22482-3845
Phone
(804) 435-2651
Fax
(804) 435-2302
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101255344 VA
Pediatrics Physician 208000000X P0200 TX
Developmental - Behavioral Pediatrics Physician 2080P0006X 52205 SC Primary

Addresses

Primary practice location

86 Harris Rd
Kilmarnock, VA 22482-3845

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 434-1335

Other practice location 1

200 Patewood Dr Ste A200
Greenville, SC 29615-3580
Phone (864) 454-5115

Other identifiers 1

IdentifierTypeStateIssuer
C05381OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211013002998 SC Practitioner - Pediatric Medicine 4082852645 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0200TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 26, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 26, 2021 Accepting new patients
Prisma Health University Medical Group Pediatrics Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

200 Patewood Dr
Ste A200
Greenville, SC 29615
Phone (864) 454-5115

Interoperability endpoints

  • Direct secure messaging: mdoyle229669@direct.ghs.myhfn.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1750540340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-434-1335",
            "fax_number": "804-435-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 HARRIS RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823845",
            "telephone_number": "804-435-2651",
            "fax_number": "804-435-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Patewood Dr Ste A200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153580",
            "country_code": "US",
            "telephone_number": "864-454-5115",
            "fax_number": "864-454-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "VA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101255344",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0200",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "SC",
            "license": "52205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C05381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.