Melissa Renee Broske, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP217143 Issued in GA

Practice address

614 Mullins Colony Dr
Evans, GA 30809-0579

Phone

(706) 760-7272

Fax

(706) 760-7276

NPI assigned

Oct 22, 2018

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Renee Thakore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Augusta Lung Associates

  • Specialist
  • Augusta, GA
  • NPI 1619043049
  NPD
• F&M Wellness LLC

  • Family Medicine Physician
  • Evans, GA
  • NPI 1225812571
  NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1184190647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MULLINS COLONY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090579",
            "telephone_number": "706-760-7272",
            "fax_number": "706-760-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MULLINS COLONY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090579",
            "telephone_number": "706-760-7272",
            "fax_number": "706-760-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSKE",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP217143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "THAKORE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destinia Lashawn Brister
• Amone' Brookins
• William S Brooks III, M.D.
• Michael Wesley Broome, O.D.
• Paul Wesley Broome, OD
• David Daniel Brosnahan, M.D., M.S.
• Bennie Brown Jr., D.O.
• Briana Brown, D.O.
• Janese Adellis Brown, LCSW
• Nicholas Brown, LCSW

• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.