MEREDITH FLEENOR (NPI# 1164995171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164995171 |
| Entity Type | Individual |
| Full Name | MEREDITH FLEENOR |
| Credential | NP-C |
| Practice Address |
3356 Vineville Ave Macon GA 31204-2328 |
| Mailing Address |
935 Saint Andrews Rd Macon GA 31210-7902 |
| Practice Telephone | 4784769642 |
| Mailing Telephone | 4787313870 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN176796 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN176796 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN176796 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3356 VINEVILLE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392068 | Carlos Jorge Giron | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-07 |
| 1588147060 | Spine Center Macon, LLC | Physical Medicine & Rehabilitation | 3356 Vineville Ave, Macon, GA 31204-2328 | 2018-09-11 |
| 1235385931 | Pharmalab,llc | Specialist | 3356 Vineville Ave, Macon, GA 31204-2328 | 2008-08-13 |
| 1861671935 | Andrada Physical Therapy, Inc | Clinic/Center | 3356 Vineville Ave, Ste C, Macon, GA 31204-2328 | 2007-10-25 |
| 1447388574 | Macon Pain Center, P.C. | Clinic/Center | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1265560379 | Georgia Pain Institute. LLC | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1033196761 | Julian M Earls Jr. | Psychiatry & Neurology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1306823034 | Grace Duque-dizon | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1699756361 | Preston Chandler Delaperriere | Anesthesiology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053738054 | Lauren Rachel Lambeth | Nurse Practitioner | 360 Hospital Dr, Suite 110d, Macon, GA 31217-3874 | 2014-03-27 |
| 1093070096 | Garry Michael | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.