Individual provider Active NPI

Melissa Spinelli Tolbert, NP-C

  • Adult Health Nurse Practitioner
  • Athens, GA
National Provider Identifier
1558047506
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN287406 Issued in GA
Practice address
830 King Ave
Athens, GA 30606-2838
Phone
(706) 425-2400
Fax
(706) 425-2410
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN287406 GA Primary

Addresses

Primary practice location

830 King Ave
Athens, GA 30606-2838

Mailing address

830 King Ave
Athens, GA 30606-2838
Phone (706) 425-2400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtolbert@athensspinecenter.emadirect.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607000605 GA Practitioner - Nurse Practitioner 3779025515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Spine Center PCGroup PAC ID 1658388004, 6 clinicians

Practice addresses (Care Compare)

830 King Ave
Athens, GA 30606-2838
Phone (706) 425-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN287406GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Geriatrics and Internal Medicine, PC CurrentSince Jun 1, 2024 Accepting new patients
Athens Spine Center PC CurrentSince Sep 4, 2024 Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 3200
Athens, GA 30606
Phone (706) 549-8931

830 King Ave
Athens, GA 30606
Phone (706) 227-8999

1550 Timothy Rd
Ste 104
Athens, GA 30606
Phone (706) 425-2400

696 Breedlove Dr
Ste A
Monroe, GA 30655
Phone (770) 207-5677

Interoperability endpoints

  • Direct secure messaging: mtolbert@athensspinecenter.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1558047506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "MELISSA",
        "middle_name": "SPINELLI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN287406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtolbert@athensspinecenter.emadirect.com",
            "affiliation": "N",
            "endpointDescription": "Mod Med Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "830 King Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.