Healthcare Provider Details

I. General information

NPI: 1457269862
Provider Name (Legal Business Name): MS. MEGAN LEIGH ATWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. MEGAN LEIGH MATHERS

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E DUBLIN GRANVILLE RD
WORTHINGTON OH
43085-3192
US

IV. Provider business mailing address

6141 VAN FOSSEN RD
JOHNSTOWN OH
43031-9414
US

V. Phone/Fax

Practice location:
  • Phone: 614-844-3800
  • Fax:
Mailing address:
  • Phone: 614-479-9748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: