Melinda J Kovich, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11013974

Practice address

109 Scholar Rd
Guyton, GA 31312-6296

Phone

(912) 601-2598

NPI assigned

Jul 14, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1710275540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126296",
            "telephone_number": "912-601-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126296",
            "telephone_number": "912-601-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVICH",
        "first_name": "MELINDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "11013974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Bernard Johnson Jr., PH.D.
• Shannon Bragg Jones, LPC, NCC
• Key 4 Changes LLC
• Kindercare Pediatrics of Georgia
• Krystal L Kirkland- Artis
• Arthur Lee
• Samantha Leininger, CD(DONA)
• Soneisha Monay Ling, PHD
• Crystal Malloy, PHD, LPC, MAC, CEAP
• Drew McGuire Malphrus

• All providers in Guyton, GA
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.