DR. RICHARD A MEADERS (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1396749958

DR. RICHARD A MEADERS (D.M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.M.D.. They hold a License No. DN0011162 (GA). The NPI Number for DR. RICHARD A MEADERS (D.M.D.) is 1396749958

Main info

Male
33 Years Of Experience
Name
DR. RICHARD A MEADERS (D.M.D.)
NPI
1396749958
Phone
(770) 977-0364
Address
1000 JOHNSON FERRY RD
Enumeration Date
10 June 2005
Last Update Date
20 August 2010

Doctor Profile

Medical School Name
GEORGIA REGENTS UNIVERSITY COLLEGE OF DENTAL MEDICINE
Secondary Phone
7708447894
Graduation Year
1993 (33 years ago)
PAC ID
2062609365
Group Practice PAC ID
8628062387
Professional Enrollment ID
I20101213000900
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RICHARD A MEADERS (D.M.D.)

  • Creative Dentistry, 1000, Johnson Ferry Road Northeast, Mount Bethel, Marietta, Georgia, 30068, United States

    BLDG H

    MARIETTA, GA 300685518

    Phone: (770) 977-0364

    Fax: (678) 819-6531

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $670.

Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ZIMVIE INC. ($471).

Total Amount

$670

General + Research + Ownership

Payments

10

Total payment records

General Amount

$670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101213000900IMaxillofacial SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628062387View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryLA
-GA
Maxillofacial Surgery, Oral SurgeryGA
Maxillofacial Surgery, Oral SurgeryGA
-GA
Oral Surgery, Maxillofacial SurgeryGA
Maxillofacial Surgery, Dentist, Oral SurgeryGA
Maxillofacial Surgery, Oral SurgeryGA
Maxillofacial Surgery, Oral SurgeryMD
Maxillofacial Surgery, Oral SurgeryFL

Reviews

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Frequently asked questions

How is DR. RICHARD A MEADERS (D.M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. RICHARD A MEADERS (D.M.D.) with NPI 1396749958.
Can I rely on DR. RICHARD A MEADERS (D.M.D.) being an active provider?
As of the registry snapshot, DR. RICHARD A MEADERS (D.M.D.) is marked active.
What is DR. RICHARD A MEADERS (D.M.D.)'s primary classification?
Oral and Maxillofacial Surgery (Dentist) is the headline specialty for DR. RICHARD A MEADERS (D.M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. RICHARD A MEADERS (D.M.D.) serve?
DR. RICHARD A MEADERS (D.M.D.)'s listing highlights Marietta, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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DR. ROBERT CARL WUNDERLE (D.D.S.)

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DR. BARTON L JR. MCGHEE (D.D.S.)

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DR. ROGER A MEYER (M.D., D.D.S.)

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DR. STEVEN JULE LEVY (D.D.S.)

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Unknown Individual

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DR. PAUL J. II SCHANER (D.M.D.)

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DR. SHAHROKH C BAGHERI (M.D. D.M.D.)

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DR. DONALD R NUNN (M.D. D.D.S.)

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