Active NPI
Melvaneeds Care Services
- Family Medicine Physician
- Fitzgerald, GA
National Provider Identifier
1467145011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MELVANEEDS CARE SERVICES
- Doing business as
- Melva-Needs Care Services, LLC
- Practice address
- 162 Ocilla Hwy Ste 14
Fitzgerald, GA 31750-3795 - Phone
- (229) 239-9677
- NPI assigned
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvanie Melton-Smith, APRN, FNP
- Title
- Owner
- Phone
- (229) 239-9677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
162 Ocilla Hwy Ste 14
Fitzgerald, GA 31750-3795
Mailing address
162 Ocilla Hwy Ste 14
Fitzgerald, GA 31750-3795
Phone (229) 239-9677
Other names 1
- Melva-Needs Care Services, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
162 Ocilla Hwy
Ste 14
Fitzgerald, GA 31750
Phone (229) 239-9677
162 Ocilla Hwy
Ste 1
Fitzgerald, GA 31750
Phone (229) 239-9677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fitzgerald, GA
- NPI 1104293927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1467145011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 OCILLA HWY STE 14",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317503795",
"telephone_number": "229-239-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 OCILLA HWY STE 14",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317503795",
"telephone_number": "229-239-9677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELVANEEDS CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "MELTON-SMITH",
"authorized_official_first_name": "MELVANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-239-9677",
"authorized_official_credential": "APRN, FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Melva-Needs Care Services, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fitzgerald, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.