Melissa Beasley, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN204841 Issued in GA

Practice address

450 Georgia Ave Ste B
Statesboro, GA 30458-5590

Phone

(912) 871-2200

Fax

(912) 871-2220

NPI assigned

Nov 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• East Georgia Nephrology, PC

  • Nephrology Physician
  • Statesboro, GA
  • NPI 1215128186
  NPD (past)
• NP Care Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1740009943
  NPD (past)
• Copilotiq Medical PA

  • Primary Care Clinic/Center
  • Nashville, TN
  • NPI 1144969767
  NPD (past)

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1700259108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-871-2200",
            "fax_number": "912-871-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-871-2200",
            "fax_number": "912-871-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1096 Bermuda Run",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580858",
            "country_code": "US",
            "telephone_number": "912-871-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie June Barnett, RN, MSN, APRN-BC
• Stacey Basquin, PAC
• Martha T Baynon, MT
• Jenna Raye Bazemore, DPT
• Janiah Venisha Beal
• Todd Roswell Becker, DPM
• Vicki W Beckum, CCC-SLP
• Emily Belson, LAT, ATC
• Catherine Benefield
• Sherri Ann Bennett, BCBA

• Family Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.