EDOM MEHERETAB
NPI 1033066659
Nurse Anesthetist, Certified Registered in Atlanta, GA

Active since March 12, 2026
8735 DUNWOODY PL STE N, ATLANTA, GA 30350(509) 768-2249 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Edom Meheretab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDOM MEHERETAB (NPI 1033066659) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN228253) and active in the NPI registry since March 2026. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1033066659
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameEDOM MEHERETAB
Location Address8735 DUNWOODY PL STE NAtlanta, GA 30350-2995
Mailing Address8735 Dunwoody Pl Ste NAtlanta, GA 30350-2995
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 12, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1033066659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in GA · RN228253✔ Licensed in TX · 1231028
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
8735 DUNWOODY PL STE N, Atlanta, GA 30350

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edom Meheretab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244797322
PECOS Enrollment IDI20260807004377

Medicare Billing Reassignment

Medicare enrollment records show Edom Meheretab reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
11301 FALLBROOK DR, STE 304
Houston, TX 77065
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Nurse Practitioner
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Behavior Analyst
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Psychologist
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Registered Nurse (Lactation Consultant)
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Counselor (Professional)
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Driver
8735 DUNWOODY PL STE N
ATLANTA, GA 30350
Nurse Practitioner
8735 DUNWOODY PL STE N
ATLANTA, GA 30350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edom Meheretab's NPI number?

The NPI number for Edom Meheretab is 1033066659. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Edom Meheretab located?

Edom Meheretab practices at 8735 Dunwoody Pl Ste N, Atlanta, GA 30350. The listed phone number is (509) 768-2249.

What is Edom Meheretab's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Edom Meheretab enrolled in Medicare?

Yes. Edom Meheretab is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edom Meheretab's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edom Meheretab reassigns Medicare benefits to Bhs Physicians Network, Inc (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edom Meheretab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edom Meheretab accept?

Health plans from Blue Cross and Blue Shield of Texas list Edom Meheretab as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edom Meheretab was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.