Individual provider Active NPI

Melanie Sims, NP

  • Acute Care Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1093956351
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN176715 Issued in GA
Practice address
157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone
(770) 214-2800
Fax
(770) 214-2803
NPI assigned
Mar 17, 2009
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN176715 GA Primary

Addresses

Primary practice location

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454

Mailing address

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone (770) 214-2800

Other practice location 1

690 Dallas Hwy Ste 103
Villa Rica, GA 30180-1265
Phone (770) 214-2800

Other practice location 2

204 Allen Memorial Dr Ste 302B
Bremen, GA 30110-2047
Phone (770) 214-2800

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
I20091208000683 GA Practitioner - Nurse Practitioner 9335288133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Georgia Gastroenterology Associates,PCGroup PAC ID 5890783104, 12 clinicians

Practice addresses (Care Compare)

157 Clinic Ave
Suite 201
Carrollton, GA 30117-4454
Phone 770214280013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as group
Quality
94.35
Promoting interoperability
100
Improvement activities
40
Cost
77.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN176715GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Georgia Inc CurrentSince Jul 25, 2017 Accepting new patients
West Georgia Gastroenterology Associates,PC CurrentSince Feb 13, 2024 Accepting new patients

Locations

157 Clinic Ave
Ste 201
Carrollton, GA 30117
Phone (770) 214-2800

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

690 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (770) 214-2800

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1093956351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Dallas Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801265",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Allen Memorial Dr Ste 302B",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102047",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN176715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.