Melodie Olivieri, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN160006 Issued in GA

Practice address

748 Old Norcross Rd Ste 185
Lawrenceville, GA 30046-3395

Phone

(770) 277-8554

Fax

(404) 494-7496

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dima Care, IncGroup PAC ID 4385036011, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 7)

Locations

Networks

• FL HMO
• FL HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEFEAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dima Care, Inc

  • Family Medicine Physician
  • Commerce, GA
  • NPI 1699340612

  GA

  Medicare reassignment Care Compare group NPD
• Gwinnett Center Medical Associates

  • Primary Care Clinic/Center
  • Lawrenceville, GA
  • NPI 1811097181

  GA

  Medicare reassignment NPD
• Gwinnett Center Medical Associates

  • Medical Physician Assistant
  • Lawrenceville, GA
  • NPI 1326144734
  NPD (past)
• Hope Dispensary

  • Non-Pharmacy Dispensing Site
  • Stone Mountain, GA
  • NPI 1831577329
  NPD (past)
• Memorial Drive Family Medicine P.C

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1285994251
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1013774033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 CRIMSON KING DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305174098",
            "telephone_number": "404-783-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 OLD NORCROSS RD STE 185",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463395",
            "telephone_number": "770-277-8554",
            "fax_number": "404-494-7496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4958 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300834148",
            "country_code": "US",
            "telephone_number": "404-809-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "MELODIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN160006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelessa Oliver, RN
• Mackenzie Brown Oliver
• Sarah Oliver
• Jacob Alan Oliverson
• Donya Richards Olivier, FNP-C
• Adetola Olobatuyi
• Olalekan Olorunyomi, DO
• Taiye Olubuyide, NP
• Adeola Olukoya
• Kehinde Raji Olumesi, M.D.

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.