Individual provider Active NPI

Melissa Sims Logan, M.D.

  • Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1164403887
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME120401 Issued in FL
Practice address
50 Hospital Dr Ste 1C
Hendersonville, NC 28792-5250
Phone
(828) 687-9758
Fax
(828) 687-9764
NPI assigned
Nov 9, 2005
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME120401 FL Primary

Addresses

Primary practice location

50 Hospital Dr Ste 1C
Hendersonville, NC 28792-5250

Mailing address

PO Box 1869
Fletcher, NC 28732-1869

Other practice location 1

1301 Sigman Rd NE
Suite 190
Conyers, GA 30012-3812
Phone (770) 922-4024

Other practice location 2

1700 Hospital South Dr Ste 202
Austell, GA 30106-8116
Phone (770) 944-7818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, GA, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130116000386 NC Practitioner - General Surgery 4880847110 Reassigns benefits to 1 organization
I20141028000803 FL Practitioner - General Surgery 4880847110
I20161005003028 GA Practitioner - General Surgery 4880847110 Reassigns benefits to 2 organizations
I20171024003233 MS Practitioner - General Surgery 4880847110 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25265MSMDFamily Medicine Physician
076273GAMDSurgery Physician
2012-02224NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 20, 2017 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 20, 2017 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 20, 2021 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2023 Accepting new patients
Northeast Georgia Physicians Group Inc Surgery CurrentSince Mar 1, 2020 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Mar 1, 2020 Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients
Shelby Surgical Associates, PA Surgery Past Accepting new patients

Locations

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1164403887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 1C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925250",
            "telephone_number": "828-687-9758",
            "fax_number": "828-687-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Sigman Rd NE",
            "address_2": "Suite 190",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123812",
            "country_code": "US",
            "telephone_number": "770-922-4024",
            "fax_number": "770-278-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Hospital South Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301068116",
            "country_code": "US",
            "telephone_number": "770-944-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MELISSA",
        "middle_name": "SIMS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME120401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.