Individual provider Active NPI

Heather Anne Melton, MD

  • Orthopaedic Surgery Physician
  • McKenzie, TN
National Provider Identifier
1205833142
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
37119 Issued in TN
Practice address
22700 Highway 22 Ste a
MC Kenzie, TN 38201-8679
Phone
(731) 986-7200
Fax
(731) 986-7292
NPI assigned
Jul 7, 2005
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 37119 TN Primary

Addresses

Primary practice location

22700 Highway 22 Ste a
MC Kenzie, TN 38201-8679

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Phone (731) 644-2271

Other identifiers 11

IdentifierTypeStateIssuer
000000353340OtherTNBCBSKY
1205833142OtherTNNPI
7469524OtherTNAETNA
143389OtherTNUNISON
2122712OtherTNFIRST HEALTH
4058520OtherTNBCBSTN
3881222MedicaidTN
40903919OtherTNCIGNA
64082274MedicaidKY
P00131527OtherTNPALMETO GBA
1124048541OtherTNGROUP NPI

Other names 1

  • Dr. Heather Anne Gulish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000410 TN Practitioner - Orthopedic Surgery 0345214904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1323 E Wood St
Paris, TN 38242-4421
Phone (731) 641-8751

1720 E Reelfoot Ave
Suite 104
Union City, TN 38261-6047
Phone (731) 885-8484

22700 Hwy 22
Suite a
MC Kenzie, TN 38201-8679
Phone (731) 986-7200

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37119TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center CurrentSince Jan 14, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC Orthopaedic Surgery CurrentSince May 15, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 17, 2023 Accepting new patients
Henry County Medical Center CurrentSince Jan 14, 2017 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 17, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 15, 2019 Accepting new patients
Henry County Orthopaedic Surgery & Sports Medicine, PC Orthopaedic Surgery Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

22700 Highway 22
Ste A
Mc Kenzie, TN 38201
Phone (731) 986-7200

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

1323 E Wood St
Paris, TN 38242
Phone (731) 642-2011

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • Direct secure messaging: hmelton237150@direct.bmhcc.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1205833142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22700 HIGHWAY 22 STE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382018679",
            "telephone_number": "731-986-7200",
            "fax_number": "731-986-7292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Kelley Dr",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382425819",
            "country_code": "US",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "37119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKY",
            "identifier": "000000353340",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205833142",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7469524",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "143389",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2122712",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4058520",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3881222",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "40903919",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64082274",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "P00131527",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1124048541",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GULISH",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

Verify at the official NPI Registry.