Active NPI
Faery Medical, LLC
- Nurse Practitioner
- McDonough, GA
National Provider Identifier
1487566782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- FAERY MEDICAL, LLC
- Practice address
- 1171 King Mill Rd
McDonough, GA 30252-6927 - Phone
- (470) 615-9709
- Fax
- (470) 743-1075
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- 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
- Melissa Rotella, NP
- Title
- Owner, Provider
- Phone
- (470) 615-9709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1171 King Mill Rd
McDonough, GA 30252-6927
Mailing address
1171 King Mill Rd
McDonough, GA 30252-6927
Phone (470) 615-9709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1487566782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 KING MILL RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302526927",
"telephone_number": "470-615-9709",
"fax_number": "470-743-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 KING MILL RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302526927",
"telephone_number": "470-615-9709",
"fax_number": "470-743-1075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAERY MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "ROTELLA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "470-615-9709",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
- Exceptional Nursing Care LLC
- Exceptional One Transportation
- Ruthnelle Exis
- Expert Doctors of Physical Therapy (Total Athlete Sports Medicine)
- Ez Ride Mobility LLC
- Faith Medical Transport Services LLC
- Faith White Counseling and Consulting
- Humberto C. Fallas, O.D.
- Family Medical and Urgent Care Clinic of McDonough, LLC (Family Health Clinic)
- Family Medical Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.