Meredith Macmillan Dyer, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4945 Issued in GA

Practice address

11700 Mercy Blvd
BLDG 6
Savannah, GA 31419-1753

Phone

(912) 961-8647

NPI assigned

Dec 19, 2006

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1962565887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD",
            "address_2": "BLDG 6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-961-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD",
            "address_2": "BLDG 6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-961-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "MEREDITH",
        "middle_name": "MACMILLAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681257393A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DWC-P LLC (Dental Wellness Center on Paulsen)
• DWC-Sav, LLC (Dental Wellness Center of Savannah)
• Angeline D. Dy, DPM
• Mark Newton Dye, D.M.D.
• Rachelle D Dye, PA
• Veronica Dyer, BCBA
• Lisa Dyke, MD
• Patricia Marie Dykema, PA
• Dynamic Chiropractic Inc (Dynamic Spine & Rehab)
• Dynamic Loop Inc

• Medical Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.