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MEGHAN RILEY ENGLISHBY FNP-BC
NPI 1275323396
Nurse Practitioner - Family in Cumming, GA

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment
1400 NORTHSIDE FORSYTH DR STE 240, CUMMING, GA 30041(770) 844-0877 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2025, May 12, 2025 (2 updates tracked since 2025).

About Meghan Riley Englishby Fnp-bc NPPES

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

MEGHAN RILEY ENGLISHBY FNP-BC (NPI 1275323396) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN305531) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275323396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGHAN RILEY ENGLISHBYCredential: FNP-BC
Location Address1400 NORTHSIDE FORSYTH DR STE 240Cumming, GA 30041-6017
Mailing Address6175 Banyan TrlCumming, GA 30028-7587 · (901) 229-6663
Phone(770) 844-0877
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1275323396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN305531
1400 NORTHSIDE FORSYTH DR STE 240, Cumming, GA 30041
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meghan Riley Englishby Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284123787
PECOS Enrollment IDI20251026000474
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 Reassignment

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

North Atlanta Family Practice, LLC
Same address
Internal Medicine
1400 NORTHSIDE FORSYTH DR STE 240
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1487736138 (770) 844-0877

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 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

MEGAN IRENE SMITH NP
Nurse Practitioner
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
MS. MOLLIE H HERZBERGER PA
Physician Assistant
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
JESSICA MARIE HYLAND FNP-C
Nurse Practitioner (Family)
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
JENNIFER STEARNS FAULKNER FNP-C
Nurse Practitioner (Family)
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
BRIANA FORD DO
Internal Medicine
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
MRS. TIFFANY TURNER RN
Internal Medicine
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
MS. OHRIDIA AMAKI POPE NP
Nurse Practitioner (Acute Care)
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877
ALIXANDRIA DRUMMOND
Nurse Practitioner (Family)
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA 30041
Forsyth County (770) 844-0877

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 Meghan Englishby's NPI number?

The NPI number for Meghan Englishby is 1275323396. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Meghan Englishby located?

Meghan Englishby practices at 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041. The listed phone number is (770) 844-0877.

What is Meghan Englishby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Meghan Englishby enrolled in Medicare?

Yes. Meghan Englishby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Meghan Englishby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meghan Englishby reassigns Medicare benefits to North Atlanta Family Practice, LLC (Cumming, GA). 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 Meghan Englishby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Meghan Englishby accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Meghan Englishby 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 Meghan Englishby was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.