Active NPI
Melissa Cervantes
- Physician Assistant
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11440
- Practice address
- 696 Grayson Hwy
Lawrenceville, GA 30046-6372 - Phone
- (770) 963-0927
- NPI assigned
- Aug 31, 2021
- Last updated
- Oct 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11440 | GA | Primary |
Addresses
Primary practice location
696 Grayson Hwy
Lawrenceville, GA 30046-6372
Mailing address
696 Grayson Hwy
Lawrenceville, GA 30046-6372
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 237-1428
1480 Baxter St
Suite a
Athens, GA 30606-6393
Phone (706) 543-0228
3425 Buford Dr
Suite 200
Buford, GA 30519-8785
Phone (678) 546-0200
3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900
6000 Hillandale Dr
Lithonia, GA 30058-4858
Phone (770) 461-3776
823 Loganville Hwy
Bethlehem, GA 30620-1709
Phone (470) 866-2396
868 Buford Rd
Cumming, GA 30041-2716
Phone (678) 284-2006
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 Metropolitan Radiology Associates, LLP | Current | Accepting new patients |
Locations
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Lawrenceville, GA
- NPI 1437137031
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1255009833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 GRAYSON HWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 GRAYSON HWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466372",
"telephone_number": "770-963-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Center for Empowering Resources
- Center for Vein Restoration Ga Corp
- Center for Wellness and Pain Care of Las Vegas, Inc
- Centerside Counseling & Consulting LLC
- Centro Prenatal de Gwinnett LLC (Centro Prenatal De Georgia)
- Vonnie W Cesar, FNP
- Cga Care of Ga, LLC
- Nicole Chacin, LPC
- Mary Jincy Chackonal, MSPT
- Kenneth H. Chaffin, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.