Individual provider Active NPI

Melanie Marie Cox

  • Family Nurse Practitioner
  • Covington, GA
National Provider Identifier
1063020428
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN133284 Issued in GA
Practice address
3792 Kraddle Creek Dr
Covington, GA 30014-7700
Phone
(770) 490-3350
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN133284 GA Primary

Addresses

Primary practice location

3792 Kraddle Creek Dr
Covington, GA 30014-7700

Mailing address

3792 Kraddle Creek Dr
Covington, GA 30014-7700
Phone (770) 490-3350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230220000758 GA Practitioner - Nurse Practitioner 4385016476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN133284GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Health Center CurrentSince Feb 17, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

823 Loganville Hwy
Bethlehem, GA 30620
Phone (470) 866-2396

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1016 E Spring St
Monroe, GA 30655
Phone (770) 464-0280

Interoperability endpoints

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1063020428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 KRADDLE CREEK DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147700",
            "telephone_number": "770-490-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3792 KRADDLE CREEK DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147700",
            "telephone_number": "770-490-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN133284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.