Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meagan Elise McKinnon, PA-C

Individual provider Medical Physician Assistant · NPI 1285916437

Meagan Elise McKinnon, PA-C is a Physician Assistant in Moultrie, Georgia. Qualified in 2017, 9 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4 Live Oak Ct
Moultrie, GA 31768-6783
Phone: (229) 785-2400
Fax: (229) 502-9793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3131 S Main St, Moultrie, GA 31768-6925 — (229) 785-2400
  • 16 Live Oak Ct, Moultrie, GA 31768 — (229) 785-2400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008711 (GA)
Specialist Taxonomy 174400000X · Licence AT001938 (GA)

Record details

NPI number1285916437
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESAugust 1, 2023
Certification dateJuly 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Moultrie