Individual provider Active NPI

Melissa Collins, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1376904623
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN213968 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd
Suite 1000
Atlanta, GA 30342-1699
Phone
(404) 255-1930
Fax
(404) 255-1939
NPI assigned
Mar 15, 2016
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN213968 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd
Suite 1000
Atlanta, GA 30342-1699

Mailing address

1461 Woodbine Ave SE
Atlanta, GA 30317-1940
Phone (917) 476-7194

Other names 1

  • Melissa Collins Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411000438 GA Practitioner - Nurse Practitioner 5193023026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN213968GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blood & Marrow Transplant Group of Georgia CurrentSince Mar 8, 2016 Accepting new patients

Locations

5670 Peachtree Dunwoody Rd
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-1930

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1376904623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 WOODBINE AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171940",
            "telephone_number": "917-476-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-255-1930",
            "fax_number": "404-255-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MELISSA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "COLLINS",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.