NPIMap

Individual provider Active NPI

Melissa D Primrose, M.D.

  • Family Medicine Physician
  • Gray, GA
National Provider Identifier
1457496234
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53516 Issued in GA
Practice address
1005 Boulder Dr
Gray, GA 31032-6141
Phone
(478) 621-2100
Fax
(770) 502-2049
NPI assigned
Feb 20, 2007
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53516 GA Primary

Addresses

Primary practice location

1005 Boulder Dr
Gray, GA 31032-6141

Mailing address

1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100

Other names 1

  • Melissa D. Primrose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000531 GA Practitioner - Family Practice 7012004435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians
Alpha Internal Medicine LLCGroup PAC ID 2961398185, 6 clinicians

Practice addresses (Care Compare)

1104 W Taylor St
Griffin, GA 30223-2610
Phone (770) 227-1587

745 Glynn St S
Fayetteville, GA 30214-2049
Phone (770) 719-5490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.51 of 100Reported as group
Quality
16.39
Improvement activities
20
Cost
79.97

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53516GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Internal Medicine, LLC CurrentSince Jan 1, 2024 Accepting new patients
Optimus Diagnostics LLC Current Accepting new patients
Community Primary Care of Georgia LLC CurrentSince Sep 1, 2016 Accepting new patients
Qcpi-Villagemd, PC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

4421 Carnes St
Acworth, GA 30101
Phone (478) 621-2072

745 Glynn St S
Fayetteville, GA 30214
Phone (770) 599-1010

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

1104 W Taylor St
Griffin, GA 30223
Phone (770) 227-1587

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Interoperability endpoints

  • Direct secure messaging: melissa.primrose.1@21533.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1457496234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BOULDER DR",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326141",
            "telephone_number": "478-621-2100",
            "fax_number": "770-502-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BOULDER DR",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326141",
            "telephone_number": "478-621-2100",
            "fax_number": "770-502-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMROSE",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PRIMROSE",
            "middle_name": "D.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gray, GA

Sources for this page

Verify at the official NPI Registry.