Melissa Darlene Beavers, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

720 S Glenwood Ave Ste 104
Dalton, GA 30721-3389

Phone

(706) 307-0043

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Rise Wellness LLCGroup PAC ID 0244607919, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rise Wellness LLC

  • Clinical Social Worker
  • Calhoun, GA
  • NPI 1235855289
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, GA

  Medicare reassignment NPD
• Advanced Creative Solutions

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1871047647

  Clinical

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1487372702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S GLENWOOD AVE STE 103",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307213388",
            "telephone_number": "706-307-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S GLENWOOD AVE STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307213389",
            "telephone_number": "706-307-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "MELISSA",
        "middle_name": "DARLENE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W. Jeffrey Battles, D.M.D.
• Paula Shurden Batts, LMFT
• Stacy Bean, OTR/L, CBIS
• Bryan Davis Beasley, ATC/L
• Mary Beavers, LPC
• Greta W Beckler, PT
• Natalie Anne Bedwell, COTA
• Richard M Belle Isle, M.D.
• Benchmark Healthcare Services LLC
• Kelcey Akridge Bennett, NP-C

• Clinical Social Worker in Dalton, GA
• Providers in Dalton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.