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

Megan Fonclara

Individual provider Registered Dietitian · NPI 1316763014

Megan Fonclara is a Physician Assistant in Tiger, Georgia. Qualified in 2024, 2 years ago. Practices with Medlink Georgia Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1669 Bridge Creek Rd
Tiger, GA 30576-2070
Phone: (706) 982-9487
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12982 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence LD005634 (GA)

Record details

NPI number1316763014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medlink Georgia Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare