Active NPI
Melissa Anne Hardison, NP-C
- Nurse Practitioner
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN169970
- Practice address
- 1013 N 5TH Ave NE
Rome, GA 30165 - Phone
- (762) 235-3730
- Fax
- (706) 234-9732
- NPI assigned
- Aug 22, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN169970 | GA | Primary |
Addresses
Primary practice location
1013 N 5TH Ave NE
Rome, GA 30165
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa.hardison.1@1498.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927003007 | GA | Practitioner - Nurse Practitioner | 7810248937 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169970 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Past | Accepting new patients |
Locations
204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559
1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235
2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934
1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320
4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188
3125 Martin Luther King Jr Dr
Albany, GA 31701
Phone (229) 888-6650
1113 University St
Albany, GA 31707
Phone (229) 431-3409
401 S Madison St
Albany, GA 31701
Phone (229) 405-6959
2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559
1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189
1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233
1801 Palmyra Rd
Albany, GA 31701
Phone (229) 434-1400
1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 405-6249
2600 Radium Springs Rd
Albany, GA 31705
Phone (229) 394-4719
1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100
1712 E Broad Ave
Ste C
Albany, GA 31705
Phone (229) 639-3103
1000 Newton Rd
Camilla, GA 31730
Phone (229) 889-7393
505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990
455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238
118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508
327 Sunset Ave SW
#3
Newton, GA 39870
Phone (229) 734-5250
11949 US Highway 41
Pinehurst, GA 31070
Phone (229) 405-6249
1212 E Union St
Vienna, GA 31092
Phone (229) 268-8865
Interoperability endpoints
- melissa.hardison.1@1498.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1780608992
GA
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1487999124
-
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1023043692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1386078624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 TECHNOLOGY PKWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651369",
"telephone_number": "762-235-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N 5TH AVE NE",
"city": "ROME",
"state": "GA",
"postal_code": "30165",
"telephone_number": "762-235-3730",
"fax_number": "706-234-9732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN169970",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissa.hardison.1@1498.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1013 N 5th Ave NE",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "30165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.