Individual provider Active NPI

Melissa Bozarth Martin, NP-C

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1760739437
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN184674 Issued in GA
Practice address
380 Hospital Dr Ste 302
Macon, GA 31217-8001
Phone
(478) 750-8606
NPI assigned
Aug 12, 2012
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN184674 GA Primary
Family Nurse Practitioner 363LF0000X RN184674 GA

Addresses

Primary practice location

380 Hospital Dr Ste 302
Macon, GA 31217-8001

Mailing address

330 Hospital Dr BLDG C Ste 315
Macon, GA 31217
Phone (478) 750-8606

Other practice location 1

330 Hospital Dr Bldg C Ste 315
Macon, GA 31217
Phone (478) 750-8606

Other practice location 2

330 Hospital Dr Bldg C Ste 315
Macon, GA 31217
Phone (478) 750-8606

Other practice location 3

1600 Forsyth St
Macon, GA 31201-1408
Phone (478) 743-3000

Other names 1

  • Melissa Erin Bozarth Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000460 GA Practitioner - Nurse Practitioner 7911155866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

380 Hospital Dr
Suite 320
Macon, GA 31217-8007
Phone (478) 750-8606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Aug 1, 2021 Accepting new patients
Macon Cardiovascular Institute Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

330 Hospital Dr
Ste 315
Macon, GA 31217
Phone (478) 742-5331

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

380 Hospital Dr
Ste 320
Macon, GA 31217
Phone (478) 742-5331

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

Interoperability endpoints

  • Direct secure messaging: melissa.bozarth@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1760739437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR BLDG C STE 315",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR STE 302",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-750-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Hospital Dr Bldg C Ste 315",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31217",
            "country_code": "US",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Hospital Dr Bldg C Ste 315",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31217",
            "country_code": "US",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Forsyth St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312011408",
            "country_code": "US",
            "telephone_number": "478-743-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELISSA",
        "middle_name": "BOZARTH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN184674",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BOZARTH",
            "middle_name": "ERIN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.