Active NPI
Matthew Dillon Melton, NP
- Acute Care Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN291004
- Practice address
- 4700 Waters Ave Ste 507
Savannah, GA 31404-6220 - Phone
- (912) 350-4750
- NPI assigned
- Oct 14, 2019
- Last updated
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN291004 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN291004 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave Ste 507
Savannah, GA 31404-6220
Mailing address
3 Woodcock Rd Unit 2211
Savannah, GA 31404-1089
Phone (828) 429-7056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23395 | Other | SC | SC BOARD OF NURSING - APRN LICENSE |
| RN291004 | Other | GA | GA BOARD OF NURSING - APRN LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN291004 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Multispecialty Associates, LLC | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4700 Waters Ave
Ste 507
Savannah, GA 31404
Phone (912) 350-4750
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Trauma Surgery Physician
- Savannah, GA
- NPI 1528571320
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1598307324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODCOCK RD UNIT 2211",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314041089",
"telephone_number": "828-429-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE STE 507",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "MATTHEW",
"middle_name": "DILLON",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN291004",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN291004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC BOARD OF NURSING - APRN LICENSE",
"identifier": "23395",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF NURSING - APRN LICENSE",
"identifier": "RN291004",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Heather Marie Mell, FNP-C
- Sarah Ashley Mello, PSY.D.
- Katherine Morgan Melnick, M. ED, CCC-SLP
- Christopher Thomas Melroy, MD
- Sarah Lindsay Melroy, P.T.
- Sandra Kimberly Melton, PA-C
- Amaiya Melvin
- James B Melvin III, DMD
- Memorial Cardiovascular Consultants LLC
- Memorial Careone Home Health Services Inc (CareOne Home Health Services - Savannah Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.