Active NPI
Mel Charles Hartsfield, M.D., J.D.
- General Practice Physician
- Monticello, FL
National Provider Identifier
1487891552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME40552
- Practice address
- 1255 W Washington St
Monticello, FL 32344-1128 - Phone
- (850) 342-0170
- Fax
- (850) 342-0257
- NPI assigned
- Jan 12, 2009
- Last updated
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME40552 | FL | Primary |
Addresses
Primary practice location
1255 W Washington St
Monticello, FL 32344-1128
Mailing address
1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170
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
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40552 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahan Medical Walk in | Past | Accepting new patients |
Organizations & group practices 1
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": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231718400000",
"number": "1487891552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W WASHINGTON ST",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323441128",
"telephone_number": "850-342-0170",
"fax_number": "850-342-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W WASHINGTON ST",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323441128",
"telephone_number": "850-342-0170",
"fax_number": "850-342-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTSFIELD",
"first_name": "MEL",
"middle_name": "CHARLES",
"credential": "M.D., J.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME40552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.