MEGAN COLE CNM
NPI 1194224980
Advanced Practice Midwife in Athens, GA

Active since February 07, 2018PECOS Enrolled
91.65/100
CMS Quality Rating
242 KING AVE, ATHENS, GA 30606(706) 475-5700 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Megan Cole Cnm NPPES

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

MEGAN COLE CNM (NPI 1194224980) is an individual advanced practice midwife in Athens, Georgia, licensed in Georgia (RN185510) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194224980
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMEGAN COLECredential: CNM
Location Address242 KING AVEAthens, GA 30606
Mailing Address166 Athens AveAthens, GA 30601-2002
Sole ProprietorYes
Enumeration DateFebruary 7, 2018
✔ NPI 1194224980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in GA · RN185510
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
242 KING AVE, Athens, GA 30606

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)

Megan Cole Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Megan Cole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 140 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Other Providers at the Same Location NPPES 8

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

Speech-Language Pathologist
242 KING AVE, FIRST FLOOR, MEDICAL SERVICES BUILDING
ATHENS, GA 30606
Technician/Technologist
242 KING AVE, SUITE 120
ATHENS, GA 30606
Occupational Therapist
242 KING AVE, MEDICAL SERVICES BUILDING, FIRST FLOOR
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Technologist)
242 KING AVE, STE. 130
ATHENS, GA 30606
Surgery
242 KING AVE, STE 130
ATHENS, GA 30606
Durable Medical Equipment & Medical Supplies
242 KING AVE
ATHENS, GA 30606
Massage Therapist
242 KING AVE
ATHENS, GA 30606
Massage Therapist
242 KING AVE
ATHENS, GA 30606

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 Megan Cole's NPI number?

The NPI number for Megan Cole is 1194224980. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Megan Cole located?

Megan Cole practices at 242 King Ave, Athens, GA 30606. The listed phone number is (706) 475-5700.

What is Megan Cole's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Megan Cole enrolled in Medicare?

Yes. Megan Cole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Megan Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Cole reassigns Medicare benefits to 2 organizations: Piedmont Athens Specialty Care LLC (Athens, GA) and Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA). Each 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 Megan Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Cole accept?

Health plans from Ambetter Health list Megan Cole 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 Megan Cole was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.