Active NPI
Rachel Milner Mellick, PA-C
- Physician Assistant
- Augusta, GA
National Provider Identifier
1487935888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6264
- Practice address
- 3651 Wheeler Rd
Mob I Suite 205
Augusta, GA 30909-6521 - Phone
- (706) 651-2369
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 6264 | GA | Primary |
Addresses
Primary practice location
3651 Wheeler Rd
Mob I Suite 205
Augusta, GA 30909-6521
Mailing address
4439 Pierwood Way
Evans, GA 30809-4503
Phone (770) 355-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120502000075 | GA | Practitioner - Physician Assistant | 5496917833 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3623 J Dewey Gray Cir
Augusta, GA 30909-6554
3651 Wheeler Rd
Doctors Hospital of Augusta
Augusta, GA 30909-6521
Phone (706) 651-3232
Hospital & facility affiliations
- Doctors Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Surgicalists LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1114334422
Hospital & facility affiliations 1
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": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1487935888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4439 PIERWOOD WAY",
"city": "EVANS",
"state": "GA",
"postal_code": "308094503",
"telephone_number": "770-355-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 WHEELER RD",
"address_2": "MOB I SUITE 205",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096521",
"telephone_number": "706-651-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLICK",
"first_name": "RACHEL",
"middle_name": "MILNER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.