Provider Demographics
NPI:1568863256
Name:HERRING, MEREDITH LYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:LYNN
Last Name:HERRING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:LYNN
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:PO BOX 12938
Mailing Address - Street 2:C/O CLINIC MANAGEMENT
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30703-7013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1035 RED BUD RD NE STE 201
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-6000
Practice Address - Country:US
Practice Address - Phone:706-879-4700
Practice Address - Fax:706-879-4701
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN115942363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0031960101BMedicaid
GA003196010AMedicaid