Melloy Concierge and Aesthetics Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP

Practice address

200 S 20TH St Ste C
Rogers, AR 72758-1100

Phone

(479) 278-7010

Fax

(479) 974-2009

NPI assigned

Apr 19, 2023

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonalee Fortiner

Title

Office Manager

Phone

(479) 435-4207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Daniel Melloy, M.D.

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1457716813
  Medicare reassignment Care Compare group NPD
• William M Rogers, M.D.

  • Hospitalist Physician
  • Rogers, AR
  • NPI 1235524869

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Renee Lynn Kassir, DO

  • Hospitalist Physician
  • Springdale, AR
  • NPI 1336375674

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1184311342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3013",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727150013",
            "telephone_number": "479-278-7010",
            "fax_number": "479-974-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST STE C",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581100",
            "telephone_number": "479-278-7010",
            "fax_number": "479-974-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "FORTINER",
        "authorized_official_first_name": "JONALEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-435-4207"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretta Lynnn Meeker
• Colin A Meghoo, MD
• Asad Iqbal Mehboob, D.O.
• Elizabeth E Melcher, OTR/L
• Rebekah Brooke Melcher, COTA
• Brian Daniel Melloy, M.D.
• Anthony Meloy, M.D.
• Meloymed Direct Health, PLLC
• Hannah Melton, MS, OTR/L
• Ricky Matthew Melton, P.T., DPT

• Family Medicine Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.