Individual provider Active NPI

Melanie Kline, FNP-BC, AGACNP-BC

  • Family Nurse Practitioner
  • Fairburn, GA
National Provider Identifier
1104571033
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN262263 Issued in GA
Practice address
3782 Oakman PL
Fairburn, GA 30213-4323
Phone
(860) 836-7236
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN262263 GA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN262263 GA Primary

Addresses

Primary practice location

3782 Oakman PL
Fairburn, GA 30213-4323

Mailing address

3782 Oakman PL
Fairburn, GA 30213-4323
Phone (860) 836-7236

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
I20220302000138 GA Practitioner - Nurse Practitioner 2961896295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

749 Lanier Ave W
Suite 1850
Fayetteville, GA 30214-7658
Phone (770) 835-4925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN262263GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Vpa PC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
The Emory Clinic Inc Multi-Specialty CurrentSince Aug 11, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC Multi-Specialty CurrentSince Feb 25, 2022 Accepting new patients
Vpa PC Multi-Specialty Current Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

590 Lanier Ave W
Fayetteville, GA 30214

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1104571033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 OAKMAN PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134323",
            "telephone_number": "860-836-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 OAKMAN PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134323",
            "telephone_number": "860-836-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "MELANIE",
        "credential": "FNP-BC, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN262263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN262263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

Verify at the official NPI Registry.