MEDICARE: MERIDIAN EDUCATION RESOURCE GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730305004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN EDUCATION RESOURCE GROUP, INC.

Provider Business Mailing Address
First Line	:	1353 GEORGE W BRUMLEY WAY SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30317-1743
Country	:	US
Telephone Number	:	404-523-2500
Fax Number	:	404-522-5100

Provider Business Practice Location Address
First Line	:	1401 HOSEA WILLIAMS DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30317-1703
Country	:	US
Telephone Number	:	404-373-6614
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CRAIG TINDALL
Credential	:
Telephone Number	:	404-373-6614

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	02/22/2021

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