Active NPI
Melania Velasquez, PA
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3675 J Dewey Gray Cir
Ste. 300
Augusta, GA 30909-1868 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3675 J Dewey Gray Cir
Ste. 300
Augusta, GA 30909-1868
Mailing address
1120 15TH St
Ste Bi1056
Augusta, GA 30912-0004
Phone (706) 721-3813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131120001731 | GA | Practitioner - Physician Assistant | 2567698608 | Reassigns benefits to 6 organizations |
| I20140718000604 | SC | Practitioner - Physician Assistant | 2567698608 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
2834 Hillcreek Dr
Augusta, GA 30909-5628
Phone (762) 375-5901
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| The Longstreet Clinic PC | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
2834 Hillcreek Dr
Augusta, GA 30909
Phone (706) 860-4004
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
4300 University Pkwy
Evans, GA 30809
Phone (706) 721-8614
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
Physician Assistant
-
- Podiatrist
- Marietta, GA
- NPI 1750724902
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1770917833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"address_2": "STE BI1056",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIR",
"address_2": "STE. 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "MELANIA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.