Individual provider Active NPI

Melanie B Coon, CNP

  • Nurse Practitioner
  • Austell, GA
National Provider Identifier
1447240932
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN159289 Issued in GA
Practice address
1810 Mulkey Rd
Suite 201
Austell, GA 30106-1151
Phone
(770) 819-9262
Fax
(770) 819-0597
NPI assigned
Oct 26, 2005
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN159289 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd
Suite 201
Austell, GA 30106-1151

Mailing address

4441 Atlanta Rd SE Ste 201
Smyrna, GA 30080-6442
Phone (470) 956-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN159289GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations

1810 Mulkey Rd
Ste 201
Austell, GA 30106
Phone (770) 819-9262

4441 Atlanta Rd SE
Ste 201
Smyrna, GA 30080
Phone (470) 956-4180

4581 S Cobb Dr SE
Ste 100
Smyrna, GA 30080
Phone (470) 956-9171

Interoperability endpoints

  • Direct secure messaging: mcoon15637@directwellstar.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1447240932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806442",
            "telephone_number": "470-956-4180",
            "fax_number": "770-819-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 201",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-819-9262",
            "fax_number": "770-819-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "MELANIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN159289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.