Susanna Meredith, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

62561 Issued in GA

Practice address

101 Harris Industrial Blvd
Vidalia, GA 30474-8852

Phone

(912) 537-1014

Fax

(912) 538-1538

NPI assigned

Dec 19, 2006

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

76.86

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: firstchoicegeorgia.susannameredith@156901.advancedmd-direct.com
• Direct secure messaging: susan.meredith@gadirect.net
• Direct secure messaging: susanna.meredith@hca5.eclinicaldirectplus.com
• Direct secure messaging: susanna.meredith@mrmc.gadirect.net
• Direct secure messaging: susanna.meredith@srpcc.gadirect.net

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.

• Meadows Multispecialty Associates, LLC

  • Internal Medicine Physician
  • Lyons, GA
  • NPI 1952990533
  Medicare reassignment Care Compare group NPD
• Meadows Regional Medical Center Inc

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1770575003
  NPD
• Southeast Regional Primary Care Corporation

  • Multi-Specialty Clinic/Center
  • Vidalia, GA
  • NPI 1467568907
  NPD
• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1841353687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-538-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-537-1014",
            "fax_number": "912-538-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Meadows Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747201",
            "country_code": "US",
            "telephone_number": "912-537-1014",
            "fax_number": "912-538-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "SUSANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "62561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087469741A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meadows Regional Medical Center Inc
• Meadows Regional Medical Center, Inc. (Meadows Nursing Center)
• Meadows Regional Medical Center, Inc. (Meadows Imaging Center)
• Memorial Careone Home Health Services, Inc (CareOne Home Health Services-Vidalia Agency)
• Mercy Medical Clinic
• Middle Georgia DME Company
• Marla Kristen Mikell, FNP-C
• Janice Miller
• Lauren Courtney Miller, M.D.
• Shannon Davy Mimbs, MACMHC, MDIV

• Obstetrics & Gynecology Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.