Melvanie Melton-Smith, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN155243 Issued in GA

Practice address

162 Ocilla Hwy Ste 14
Fitzgerald, GA 31750-3795

Phone

(229) 239-9677

Fax

(229) 423-4387

NPI assigned

Aug 27, 2015

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 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 110073

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melvanie.melton-smith.1@28007.direct.athenahealth.com

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.

• Melvaneeds Care Services

  • Family Medicine Physician
  • Fitzgerald, GA
  • NPI 1467145011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1104293927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 OCILLA HWY STE 14",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503795",
            "telephone_number": "229-239-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 OCILLA HWY STE 14",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503795",
            "telephone_number": "229-239-9677",
            "fax_number": "229-423-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON-SMITH",
        "first_name": "MELVANIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne S Maris, DDS
• Skylar Dorough Martin, FNP-BC
• Laquinta M Mason
• Taylor McDowell
• Garlan Steve McIntyre, DDS
• Melvaneeds Care Services
• Karol Dyan Merrifield, FNP-C
• Amanda S Merritt, DMD
• Harry Grimshaw Merritt Jr., DDS
• Marcie Leann Merritt, N.P.

• Family Nurse Practitioner in Fitzgerald, GA
• Providers in Fitzgerald, 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 Jul 26, 2023; 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.