Provider Demographics
NPI:1184091969
Name:CAIN, MEGAN NETTLES (APRN,FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:NETTLES
Last Name:CAIN
Suffix:
Gender:F
Credentials:APRN,FNP-C
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Mailing Address - Street 1:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7320
Mailing Address - Fax:803-296-7330
Practice Address - Street 1:1 RICHLAND MEDICAL PARK DR STE 420
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6833
Practice Address - Country:US
Practice Address - Phone:803-545-5350
Practice Address - Fax:803-545-5353
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC209601163W00000X
SC19728363L00000X
SCAPRN 19728364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP4668Medicaid