Individual provider Active NPI

Colette Meehan, M.D.

  • Pediatric Endocrinology Physician
  • Greensboro, NC
National Provider Identifier
1932424967
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2021-02877 Issued in NC
Practice address
301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone
(336) 272-6161
Fax
(336) 230-2150
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 2021-02877 NC Primary
Pediatric Endocrinology Physician 2080P0205X ME117581 FL

Addresses

Primary practice location

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210

Mailing address

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone (336) 272-6161

Other practice location 1

10521 SW Village Center Dr Ste 101
Port St Lucie, FL 34987-1930
Phone (561) 558-1212

Other practice location 2

927 45th St Ste 206
Mangonia Park, FL 33407-2450
Phone (561) 844-8354

Other identifiers 1

IdentifierTypeStateIssuer
017213400MedicaidFL

Other names 1

  • Colette Saint Marylin Meehan Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmeehan607054@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20161105000154 FL Practitioner - Pediatric MedicinePractitioner - Endocrinology 7214166792 Reassigns benefits to 1 organization
I20211013000102 NC Practitioner - Pediatric MedicinePractitioner - Endocrinology 7214166792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117581FLMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 6, 2021 Accepting new patients
Kidz Medical Services, Inc Pediatric Endocrinology CurrentSince Jul 1, 2016 Accepting new patients
Kidz Medical Services, Inc CurrentSince Jul 1, 2016 Accepting new patients
Moses Cone Physician Services, Inc. Pediatric Endocrinology CurrentSince Dec 6, 2021 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

927 45th St
Ste 206
Mangonia Park, FL 33407
Phone (561) 844-8354

10521 SW Village Center Dr
Ste 101
Port St Lucie, FL 34987

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: colettemeehan@kms.allscriptsdirect.net

Organizations & group practices 6

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1932424967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 311",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011210",
            "telephone_number": "336-272-6161",
            "fax_number": "336-230-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 311",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011210",
            "telephone_number": "336-272-6161",
            "fax_number": "336-230-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10521 SW Village Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349871930",
            "country_code": "US",
            "telephone_number": "561-558-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 45th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mangonia Park",
            "state": "FL",
            "postal_code": "334072450",
            "country_code": "US",
            "telephone_number": "561-844-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "COLETTE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2021-02877",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME117581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017213400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmeehan607054@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 E Wendover Ave Ste 311",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "MEEHAN",
            "middle_name": "SAINT MARYLIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.