Individual provider Active NPI

Tanya Michelle Meziere, M.D.

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
National Provider Identifier
1912933243
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
057749 Issued in GA
Practice address
81 Upper Riverdale Rd SW
Suite 210
Riverdale, GA 30274-2634
Phone
(770) 996-1200
Fax
(770) 907-7492
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 057749 GA Primary

Addresses

Primary practice location

81 Upper Riverdale Rd SW
Suite 210
Riverdale, GA 30274-2634

Mailing address

PO Box 962380
Riverdale, GA 30296-6921
Phone (770) 996-1200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829000959 GA Practitioner - Obstetrics/Gynecology 8123313277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Piedmont PCGroup PAC ID 9133378763, 18 clinicians

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057749GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Dec 21, 2022 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1912933243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962380",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966921",
            "telephone_number": "770-996-1200",
            "fax_number": "770-907-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 UPPER RIVERDALE RD SW",
            "address_2": "SUITE 210",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742634",
            "telephone_number": "770-996-1200",
            "fax_number": "770-907-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZIERE",
        "first_name": "TANYA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "057749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.