Individual provider Active NPI

Melissa S Bruhn, MD

  • Obstetrics Physician
  • Thomasville, GA
National Provider Identifier
1598710402
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
043565 Issued in GA
Practice address
918 South Broad St
Thomasville, GA 31792-0918
Phone
(229) 226-8800
Fax
(229) 226-8232
NPI assigned
May 23, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 043565 GA Primary

Addresses

Primary practice location

918 South Broad St
Thomasville, GA 31792-0918

Mailing address

PO Box 2357
Thomasville, GA 31799-2357
Phone (229) 226-8800

Other identifiers 2

IdentifierTypeStateIssuer
00745544AMedicaidGA
00745544BMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000296 GA Practitioner - Obstetrics/Gynecology 5395882021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shaw Center for Women's HealthGroup PAC ID 7214829639, 7 clinicians

Practice addresses (Care Compare)

918 S Broad St
Thomasville, GA 31792-6198
Phone (229) 226-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Southwest Georgia, Inc. Current Accepting new patients
Shaw Center for Women's Health CurrentSince Jul 14, 1997 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 1, 2021 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients
John D. Archbold Memorial Hospital, Inc. PastSince Apr 1, 2009 Accepting new patients

Locations

360 College St
Blakely, GA 39823
Phone (229) 723-2660

905 N Court St
Quitman, GA 31643
Phone (229) 263-8956

916 S Broad St
Thomasville, GA 31792
Phone (229) 226-0125

918 S Broad St
Thomasville, GA 31792
Phone (229) 226-8800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA
  • Direct secure messaging: melissa.bruhn@shawcenter.gadirect.net
  • Direct secure messaging: melissabruhn@scwhpa.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1598710402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992357",
            "telephone_number": "229-226-8800",
            "fax_number": "229-226-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SOUTH BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317920918",
            "telephone_number": "229-226-8800",
            "fax_number": "229-226-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHN",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "043565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00745544A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00745544B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.