Individual provider Active NPI

Melissa Anderson, MSN, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1184084816
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN205951 Issued in GA
Practice address
5271 Forest Brook Pkwy
Marietta, GA 30068-2835
Phone
(678) 895-8480
NPI assigned
Feb 23, 2016
Last updated
May 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN205951 GA Primary

Addresses

Primary practice location

5271 Forest Brook Pkwy
Marietta, GA 30068-2835

Mailing address

5271 Forest Brook Pkwy
Marietta, GA 30068-2835
Phone (678) 895-8480

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
I20220707001176 GA Practitioner - Nurse Practitioner 6103115332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smartmed, LLC CurrentSince Jun 6, 2025 Accepting new patients

Locations

612 Holcomb Bridge Rd
Roswell, GA 30076
Phone (568) 744-5386

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26482/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.anderson.1@26482.direct.athenahealth.com

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, 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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462665600000",
    "number": "1184084816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 FOREST BROOK PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682835",
            "telephone_number": "678-895-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 FOREST BROOK PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682835",
            "telephone_number": "678-895-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.