Individual provider Active NPI

Donald S Meck, PH.D.

  • Psychologist
  • Warner Robins, GA
National Provider Identifier
1932279205
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
619 Issued in GA
Practice address
2278 Moody Rd Ste D
Warner Robins, GA 31088-1933
Phone
(478) 929-0294
Fax
(478) 923-9770
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 619 GA
Clinical Neuropsychologist 103G00000X 619GA GA
Psychologist 103T00000X 619 GA Primary

Addresses

Primary practice location

2278 Moody Rd Ste D
Warner Robins, GA 31088-1933

Mailing address

2278 Moody Rd Ste D
Warner Robins, GA 31088-1933
Phone (478) 929-0294

Other identifiers 1

IdentifierTypeStateIssuer
000220327DMedicaidGA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000011 GA Practitioner - Clinical Psychologist 1153516885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2278 Moody Rd D
Warner Robins, GA 31088-1933
Phone (912) 929-0294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
619GAGAMDClinical Neuropsychologist
619GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald S. Meck, PH.D., PC Psychologist CurrentSince Jan 25, 1983 Accepting new patients

Locations

2278 Moody Rd
Ste D
Warner Robins, GA 31088
Phone (478) 929-0294

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1932279205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881933",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881933",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECK",
        "first_name": "DONALD",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "619",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "619GA",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000220327D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.