Individual provider Active NPI

Meredith Gaines Veal, PA-C

  • Physician Assistant
  • Waycross, GA
National Provider Identifier
1801402888
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9935 Issued in GA
Practice address
400 Lister St
Waycross, GA 31501-5226
Phone
(912) 283-4850
Fax
(912) 283-4864
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9935 GA
Physician Assistant 363A00000X 9935 GA Primary

Addresses

Primary practice location

400 Lister St
Waycross, GA 31501-5226

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1507 Alice St
Waycross, GA 31501-4530
Phone (912) 590-0973

Other practice location 2

195 E Tollison St Bldg C
Baxley, GA 31513-0172
Phone (912) 590-0973

Other practice location 3

200 Blue Moon Xing Ste 203
Pooler, GA 31322-9698
Phone (912) 254-7896

Other practice location 4

3408 Trout St
Brunswick, GA 31520-3622
Phone (912) 466-9111

Other practice location 5

2804 Saint Marys Rd
Saint Marys, GA 31558-4559
Phone (912) 439-3186

Other practice location 6

7000 Wellness Way Ste 7120
St Simons Island, GA 31522-2286
Phone (912) 634-4966

Other practice location 7

124 Carteret Rd
Brunswick, GA 31525-3028
Phone (912) 480-0474

Other names 1

  • Meredith Gaines Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Meredith.Veal@forefrontdermatology.emadirect.md
Direct Messaging Address Meredith.Veal@forefrontdermatology.emadirect.md
Direct Messaging Address Meredith.Veal@forefrontdermatology.emadirect.md
Direct Messaging Address Meredith.Veal@forefrontdermatology.emadirect.md

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
I20201030000637 GA Practitioner - Physician Assistant 9133539216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2804 Saint Marys Rd
Saint Marys, GA 31558-4559
Phone (912) 439-3186

400 Lister St
Waycross, GA 31501-5226
Phone (912) 283-4850

5505 Peachtree Dunwoody Rd
Suite 412
Atlanta, GA 30342-1758
Phone (404) 459-9177

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
77.71
Promoting interoperability
95
Improvement activities
40
Cost
65.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9935GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 5, 2023 Accepting new patients
Forefront Dermatology SC CurrentSince Dec 5, 2023 Accepting new patients
Perimeter Dermatology, PC Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

124 Carteret Rd
Brunswick, GA 31525
Phone (912) 480-0474

2804 Saint Marys Rd
Saint Marys, GA 31558
Phone (912) 439-3186

5505 Peachtree Dunwoody Rd
Ste 412
Sandy Springs, GA 30342
Phone (404) 459-9177

7000 Wellness Way
Ste 7120
St Simons Island, GA 31522
Phone (912) 634-4966

400 Lister St
Waycross, GA 31501
Phone (912) 283-4850

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 8

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1801402888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LISTER ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015226",
            "telephone_number": "912-283-4850",
            "fax_number": "912-283-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Alice St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315014530",
            "country_code": "US",
            "telephone_number": "912-590-0973",
            "fax_number": "912-590-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 E Tollison St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130172",
            "country_code": "US",
            "telephone_number": "912-590-0973",
            "fax_number": "912-590-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Blue Moon Xing Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-254-7896",
            "fax_number": "912-590-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3408 Trout St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315203622",
            "country_code": "US",
            "telephone_number": "912-466-9111",
            "fax_number": "912-466-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315584559",
            "country_code": "US",
            "telephone_number": "912-439-3186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Wellness Way Ste 7120",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315222286",
            "country_code": "US",
            "telephone_number": "912-634-4966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Carteret Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315253028",
            "country_code": "US",
            "telephone_number": "912-480-0474",
            "fax_number": "912-257-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEAL",
        "first_name": "MEREDITH",
        "middle_name": "GAINES",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9935",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Meredith.Veal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2804 Saint Marys Rd",
            "city": "Saint Marys",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315584559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Meredith.Veal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "400 Lister St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315015226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Meredith.Veal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "124 Carteret Rd",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315253028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Meredith.Veal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7000 Wellness Way Ste 7120",
            "city": "St Simons Island",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315222286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "GAINES",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.