Active NPI
Alicyn Mellema, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN322729
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (612) 812-4007
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | RN322729 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
60 11TH St NE Apt 2021
Atlanta, GA 30309-4388
Phone (612) 812-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Advanced Urology Anesthesia, LLC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, PC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097
501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1371 Church Street Ext NE
#100
Marietta, GA 30060
11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156
1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Specialist
- Snellville, GA
- NPI 1215365242
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1225728595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 11TH ST NE APT 2021",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094388",
"telephone_number": "612-812-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "612-812-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLEMA",
"first_name": "ALICYN",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN322729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.