Melissa Ann Perry, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25944 Issued in TN

Practice address

710 Kings LN
Tullahoma, TN 37388-5395

Phone

(931) 962-4040

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

Yes

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 TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.perry.1@25094.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25094/brand/1/csg/1/fhir/r4

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.

• Amg-Southern Tennessee LLC

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment NPD
• Amg-Southern Tennessee LLC

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD
• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858
  NPD (past)
• The Pediatric Center of Tullahoma, PC

  • Pediatrics Physician
  • Tullahoma, TN
  • NPI 1033105051
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1023676335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KINGS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885395",
            "telephone_number": "931-455-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KINGS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885395",
            "telephone_number": "931-962-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusti Louise Patton, BSN, RN
• Peak Behavioral Strategies
• Pediatric Dental Centers, PC
• Anne-Marie Shelton Pender, RN
• Thomas F Perkins, M.D.
• Peter M. Klara, M.D., PC
• Tasha Denise Peter, OTR/L
• Petty Dental, PLLC
• Jackson Petty, DDS
• John E Petty, DMD

• Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.