Individual provider Active NPI

Melanie Rae Lind-Ayres, M.D.

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1649454539
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
002079 Issued in GA
Practice address
33 Jesse Hill Junior Drive Southeast
Atlanta, GA 30303
Phone
(404) 778-1440
Fax
(404) 778-1401
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 002079 GA Primary

Addresses

Primary practice location

33 Jesse Hill Junior Drive Southeast
Atlanta, GA 30303

Mailing address

1110 Creekdale Dr
Clarkston, GA 30021-1023
Phone (404) 294-0231

Other identifiers 1

IdentifierTypeStateIssuer
002079OtherGARESIDENCY TRAINING PERMIT

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1649454539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CREEKDALE DR",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211023",
            "telephone_number": "404-294-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 JESSE HILL JUNIOR DRIVE SOUTHEAST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-778-1440",
            "fax_number": "404-778-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND-AYRES",
        "first_name": "MELANIE",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "002079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCY TRAINING PERMIT",
            "identifier": "002079",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.