Healthcare Provider Details

I. General information

NPI: 1902409261
Provider Name (Legal Business Name): MEAGAN ELIZABETH SCRUGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 PRINCE AVE
ATHENS GA
30606-2797
US

IV. Provider business mailing address

3320 OLD JEFFERSON RD STE 200A
ATHENS GA
30607-1478
US

V. Phone/Fax

Practice location:
  • Phone: 706-475-2660
  • Fax:
Mailing address:
  • Phone: 796-549-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN230246
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN230246
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: