GERALD MEGNA MD
NPI 1689257990
Family Medicine in Greenwood, SC
About Gerald Megna Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GERALD MEGNA MD (NPI 1689257990) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (86125) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Gerald Megna Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Gerald Megna reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Edgefield, SC 29824
- Reassigned Medicare billing, South Carolina enrollment
- 126 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 332 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GREENWOOD, SC 29646
GREENWOOD, SC 29646
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 Gerald Megna's NPI number?
The NPI number for Gerald Megna is 1689257990. It was assigned to this individual provider in the NPPES registry on May 4, 2021.
Where is Gerald Megna located?
Gerald Megna practices at 155 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4865.
What is Gerald Megna's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gerald Megna enrolled in Medicare?
Yes. Gerald Megna 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 Gerald Megna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Megna reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Self Regional Healthcare Partners (Edgefield, SC) and Harbin Clinic, LLC (Rome, 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 Gerald Megna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald Megna accept?
Health plans from First Choice Next, Oscar Health and Oscar Insurance Company list Gerald Megna 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 Gerald Megna affiliated with any hospitals?
According to CMS data, Gerald Megna is affiliated with Atrium Health Floyd Medical Center.
When was this NPI record last updated?
The NPPES record for Gerald Megna was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gerald Megna, MD · NPI 1689257990
Family Medicine physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since May 4, 2021.
## Identity
- **NPI:** 1689257990 (Entity type: Individual)
- **Enumerated:** May 4, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 86125 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 ACADEMY AVE, Greenwood, SC 29646-3869
- **Phone:** (864) 725-4865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Self Medical Group (NPI 1134442890, Greenwood, SC); Self Regional Healthcare Partners (NPI 1053929208, Edgefield, SC); Harbin Clinic, LLC (NPI 1679599088, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689257990) · Data from the CMS NPPES public registry.