Melissa Mae Mecher, APRN, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN247462 Issued in GA

Practice address

705 Town Blvd NE Ste S560
Brookhaven, GA 30319-7217

Phone

(404) 446-4726

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Mae Kruckeberg Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Intown Pediatric and Adolescent Medicine

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1457375073
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1437740057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BILL KENNEDY WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166835",
            "telephone_number": "404-446-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 TOWN BLVD NE STE S560",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303197217",
            "telephone_number": "404-446-4726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Bill Kennedy Way SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303166835",
            "country_code": "US",
            "telephone_number": "404-446-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECHER",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "credential": "APRN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN247462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KRUCKEBERG",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Lashaye McKnight
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• Keyonda McQueen, PT, DPT
• Lea Chanel McQueen, M.S
• Med-Surg Providers at Children'S LLC
• Mend Primary Care LLC
• Ermitha Mercier, RBT
• Merritt Eye Care and Associates
• Socrotiff Carruth Michael, LMFT

• Pediatric Nurse Practitioner in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.

Verify at the official NPI Registry.