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MEGAN DIANE BARRON
NPI 1417751868
Nurse Practitioner - Family in Athens, GA

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
485 HIGHWAY 29 N, ATHENS, GA 30601(706) 438-4080 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 11, 2026, May 29, 2025, Apr 3, 2025 (3 updates tracked since 2025).

About Megan Diane Barron NPPES

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

MEGAN DIANE BARRON (NPI 1417751868) is an individual family provider in Athens, Georgia, licensed in Georgia (RN294921) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417751868
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN DIANE BARRON
Location Address485 HIGHWAY 29 NAthens, GA 30601-5583
Mailing Address485 Highway 29 NAthens, GA 30601-5583 · (706) 438-4080
Phone(706) 438-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 3, 2025
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1417751868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN294921
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN294921 (GA)
485 HIGHWAY 29 N, Athens, GA 30601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Megan Diane Barron 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 ID6709376973
PECOS Enrollment IDI20251106001172
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 Barron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Athens Family Medicine LLC
4.7 mi
Family Medicine
300 HAWTHORNE LN
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1427418391 (706) 353-7610
Wellstreet Of Georgia PC
89 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 10

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

DR. CECIL G PINHOLSTER M.D.
Emergency Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 353-6000
RUTH ADETOUN ADENE-PETER M.D.
Family Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 438-4080
MS. JANE COX WRENN NP-C
Nurse Practitioner
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 353-6000
DR. CARL WAYNE HARRIS JR. DO
Emergency Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 438-4080
BRIAN FORRESTER MD
Preventive Medicine (Occupational Medicine)
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 353-6000
WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 438-4080
AUDRA KIMBERLY TURBEVILLE FNP-C
Nurse Practitioner
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (706) 353-9300
PIEDMONT ATHENS REGIONAL FIRSTCARE LLC
Internal Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Clarke County (770) 801-2500

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 Barron's NPI number?

The NPI number for Megan Barron is 1417751868. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Megan Barron located?

Megan Barron practices at 485 Highway 29 N, Athens, GA 30601. The listed phone number is (706) 438-4080.

What is Megan Barron's specialty?

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

Is Megan Barron enrolled in Medicare?

Yes. Megan Barron 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 organizations bill Medicare for Megan Barron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Barron reassigns Medicare benefits to 2 organizations: Athens Family Medicine LLC (Athens, GA) and Wellstreet Of Georgia PC (Newnan, 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 Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Barron accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Megan Barron 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.

Is Megan Barron affiliated with any hospitals?

According to CMS data, Megan Barron is affiliated with St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Megan Barron was last updated on August 11, 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.