Individual provider Active NPI

Megan Stephens, FNP-C

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1922723980
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248936 Issued in GA
Practice address
1751 Meriweather Dr
Watkinsville, GA 30677-7792
Phone
(706) 552-1699
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248936 GA Primary

Addresses

Primary practice location

1751 Meriweather Dr
Watkinsville, GA 30677-7792

Mailing address

49 Hickory Holw
Winder, GA 30680-3634

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
I20230303000843 GA Practitioner - Nurse Practitioner 0840663340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

1751 Meriweather Dr
BLDG a
Watkinsville, GA 30677-7792
Phone (706) 552-1699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc. Adult Medicine CurrentSince Nov 16, 2022 Accepting new patients
Pruitthealth Hospice, Inc. Adult Medicine CurrentSince Nov 16, 2022 Accepting new patients
Pruitthealth Hospice, Inc Adult Medicine Current Accepting new patients
Physicians at Home PC Past Accepting new patients

Locations

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

1751 Meriweather Dr
Watkinsville, GA 30677
Phone (229) 560-2310

1751 Meriweather Dr
Bldg A
Watkinsville, GA 30677
Phone (706) 552-1699

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1922723980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HICKORY HOLW",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306803634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MERIWEATHER DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777792",
            "telephone_number": "706-552-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MEGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.