Active NPI
Elise Jeanne Meeks, FNP-C
- Family Nurse Practitioner
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN270340
- Practice address
- 690 S Loop 336 W
Conroe, TX 77304-3319 - Phone
- (936) 828-3962
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN270340 | GA | Primary |
| Registered Nurse | 163W00000X | 662914 | TX | |
| Registered Nurse | 163W00000X | RN270340 | GA | |
| Family Nurse Practitioner | 363LF0000X | 1142371 | TX |
Addresses
Primary practice location
690 S Loop 336 W
Conroe, TX 77304-3319
Mailing address
690 S Loop 336 W
Conroe, TX 77304-3319
Phone (936) 828-3962
Other names 1
- Elise Jeanne Coles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270340 | GA | MD | Registered Nurse |
| 662914 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Current | Accepting new patients | |
| Lakeside Gastroenterology and Liver Specialists, PLLC | Current | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
3217 4th St
Brunswick, GA 31520
Phone (912) 264-9650
2040 Dan Proctor Dr
Ste 210
Saint Marys, GA 31558
Phone (866) 403-3376
690 S Loop 336 W
Ste 215
Conroe, TX 77304
Phone (936) 228-9980
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAEABA
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.
-
- Gastroenterology Physician
- Conroe, TX
- NPI 1033439781
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1922668045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043319",
"telephone_number": "936-828-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043319",
"telephone_number": "936-828-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "ELISE",
"middle_name": "JEANNE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN270340",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "662914",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN270340",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1142371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "COLES",
"middle_name": "JEANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.