Active NPI
Melissa Hagin, NP-C
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1124411335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN191967
- Practice address
- 5788 Roswell Rd
Suite 200
Atlanta, GA 30328-4904 - Phone
- (678) 752-7246
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN191967 | GA | Primary |
Addresses
Primary practice location
5788 Roswell Rd
Suite 200
Atlanta, GA 30328-4904
Mailing address
5788 Roswell Rd. NE
Suite 200
Atlanta, GA 30328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN191967 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Sport & Spine Physicians | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1932525375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1124411335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5788 ROSWELL RD. NE",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 ROSWELL RD",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284904",
"telephone_number": "678-752-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGIN",
"first_name": "MELISSA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN191967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.