MEAGAN ELISE MCKINNON (NPI# 1285916437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285916437 |
| Entity Type | Individual |
| Full Name | MEAGAN ELISE MCKINNON |
| Credential | PA-C |
| Practice Address |
Southeast Georgia Health System 2415 Parkwood Drive Brunswick GA 31520 |
| Mailing Address |
663 Lanier Park Dr Gainesville GA 30501-2059 |
| Practice Telephone | 9124667181 |
| Practice Fax Number | 9124667194 |
| Mailing Telephone | 6784500202 |
| Mailing Fax Number | 7897160656 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | AT001938 | GA | Other Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
008711 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 008711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119413 | Meagan Jackson Mckinnon | Community/Behavioral Health | 1027 Mingo Church Rd, Dunn, NC 28334-1509 | 2010-12-08 |
| Street Address |
SOUTHEAST GEORGIA HEALTH SYSTEM 2415 PARKWOOD DRIVE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374497 | Jennifer Teeter | Physician Assistant | 610 Ninth Avenue, Brunswick, MD 21716 | 2007-01-23 |
| 1740255389 | Nathaniel David Lewis | Physician Assistant | 145 Royal Dr, Brunswick, GA 31523-6278 | 2006-02-17 |
| 1437795408 | Krysta Hartley | Physician Assistant | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2019-11-25 |
| 1598189805 | Southeast Lung & Critical Care Specialists, PC | Physician Assistant | 122 Scranton Connector, Suite #112, Brunswick, GA 31525-0533 | 2014-02-06 |
| 1487967162 | Kristen Casey | Physician Assistant | 329 Maine St Ste A200, Brunswick, ME 04011-3310 | 2010-07-22 |
| 1609002534 | Shannon M Beheler | Physician Assistant | 610 9th Ave, Brunswick, MD 21716-1828 | 2009-06-05 |
| 1215177522 | Laura Rachel Bishop | Physician Assistant | 1111 Glynco Pkwy, Suite 300, Brunswick, GA 31525-7921 | 2009-02-26 |
| 1104064278 | Elizabeth Y Fletcher | Physician Assistant | 1111 Glynco Pkwy, Suite 500, Brunswick, GA 31525-7921 | 2009-01-28 |
| 1316051030 | Deborah Lynn Zito | Physician Assistant | 2500 Starling St, Brunswick, GA 31520-4219 | 2006-08-18 |
| 1043225634 | Angela S Latham | Physician Assistant | 2705 Wildwood Dr, Brunswick, GA 31520-4346 | 2006-07-30 |
| Find all providers in BRUNSWICK | ||||
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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.