Active NPI
Melissa Anne Linville, CPNP
- Critical Care Pediatric Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1134319767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- RN 176752
- Practice address
- 1001 Johnson Ferry Rd NE
Suite 500
Atlanta, GA 30342-1605 - Phone
- (404) 785-3283
- NPI assigned
- Jul 30, 2007
- 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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | RN 176752 | GA | Primary |
Addresses
Primary practice location
1001 Johnson Ferry Rd NE
Suite 500
Atlanta, GA 30342-1605
Mailing address
1001 Johnson Ferry Rd NE
Suite 500
Atlanta, GA 30342-1605
Phone (404) 785-3283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 176752 | GA | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Neurosurgery Associates at Children'S, LLC | Past | Accepting new patients |
Interoperability endpoints
- mlinville28649@choa.gadirect.net
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.
-
- Neurological Surgery Physician
- Brookhaven, GA
- NPI 1255475091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1134319767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHNSON FERRY RD NE",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHNSON FERRY RD NE",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINVILLE",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "GA",
"license": "RN 176752",
"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 Jul 30, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.