Individual provider Active NPI

Melinda K. Sutton, CRNP

  • Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1417323452
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-094087 Issued in AL
Practice address
2409 Homer Clayton Drive
Guntersville, AL 35976-2207
Phone
(256) 582-3203
Fax
(256) 582-3216
NPI assigned
Aug 13, 2015
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-094087 AL Primary
Registered Nurse 163W00000X 1-094087 AL

Addresses

Primary practice location

2409 Homer Clayton Drive
Guntersville, AL 35976-2207

Mailing address

2409 Homer Clayton Drive
Guntersville, AL 35976-2207
Phone (256) 582-3203

Other names 1

  • Melinda Sutton-Griffin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160720001082 AL Practitioner - Nurse Practitioner 7517250152 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Main Street Clinic, LLCGroup PAC ID 6002235801, 3 clinicians
Southview Medical Clinic LLCGroup PAC ID 7315188281, 5 clinicians
Valley Medical Clinic LLCGroup PAC ID 0345512968, 2 clinicians

Practice addresses (Care Compare)

1508 Cogswell Ave
Pell City, AL 35125-1243
Phone (256) 418-4300

2345 2ND Ave E
Suite B
Oneonta, AL 35121-2771
Phone (205) 625-3332

307 Main St NW
Hanceville, AL 35077-5076

307 Main St SW
Hanceville, AL 35077-5476
Phone (256) 352-4767

801 N St E
Talladega, AL 35160-2529
Phone (256) 418-4301

PO Box
Suite 56
Scottsboro, AL 35768-0056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince May 24, 2024 Accepting new patients
Valley Medical Clinic LLC Current Accepting new patients
Marshall-Jackson Mental Health BD., Inc. CurrentSince Apr 23, 2016 Accepting new patients
Horizon Medical Clinic LLC CurrentSince Feb 26, 2025 Accepting new patients
Main Street Clinic, LLC CurrentSince Feb 26, 2025 Accepting new patients
Positive Outcomes Current Accepting new patients
Smart Care, LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

1436 Gunter Ave
Guntersville, AL 35976
Phone (256) 202-1111

2409 Homer Clayton Dr
Guntersville, AL 35976
Phone (256) 582-3203

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

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.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1417323452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 HOMER CLAYTON DRIVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762207",
            "telephone_number": "256-582-3203",
            "fax_number": "256-582-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 HOMER CLAYTON DRIVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762207",
            "telephone_number": "256-582-3203",
            "fax_number": "256-582-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MELINDA",
        "middle_name": "K.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-094087",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-094087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "SUTTON-GRIFFIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.