Individual provider Active NPI

Michael Anthony Meehan

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1881251668
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101279 Issued in GA
Practice address
Comprehensive Primary Care, LLC
761 Walther Rd , Suite 200
Lawrenceville, GA 30046
Phone
(678) 888-2273
Fax
(678) 888-2200
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 101279 GA Primary

Addresses

Primary practice location

Comprehensive Primary Care, LLC
761 Walther Rd , Suite 200
Lawrenceville, GA 30046

Mailing address

Comprehensive Primary Care, LLC
3905 Johns Creek CT, Suite 200
Suwanee, GA 30024
Phone (678) 888-2273

Other practice location 1

Comprehensive Primary Care, LLC
3905 Johns Creek Ct, Suite 200
Suwanee, GA 30024
Phone (678) 888-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221014003007 SC Practitioner - Internal Medicine 1052647724 Reassigns benefits to 1 organization
I20241114002807 GA Practitioner - Internal Medicine 1052647724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care LLCGroup PAC ID 5395098867, 5 clinicians

Practice addresses (Care Compare)

761 Walther Rd
Suite 200
Lawrenceville, GA 30046-8725
Phone (678) 888-2273

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101279GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Professional Association, LLC Internal Medicine CurrentSince Sep 18, 2022 Accepting new patients
Comprehensive Primary Care, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Aiken Professional Association LLC Internal Medicine CurrentSince Sep 18, 2022 Accepting new patients

Locations

761 Walther Rd
Ste 200
Lawrenceville, GA 30046
Phone (678) 296-5504

3905 Johns Creek Ct
Ste 200
Suwanee, GA 30024
Phone (678) 888-2273

420 Society Hill Dr
#100
Aiken, SC 29803
Phone (803) 648-7774

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

420 Society Hill Dr
Aiken, SC 29803
Phone (803) 306-7733

102 Summerwood Way
Aiken, SC 29803
Phone (803) 469-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAGBD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1881251668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC",
            "address_2": "3905 JOHNS CREEK CT, SUITE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC",
            "address_2": "761 WALTHER RD , SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Comprehensive Primary Care, LLC",
            "address_2": "3905 Johns Creek Ct, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "30024",
            "country_code": "US",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "101279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.