Individual provider Active NPI

Melissa Romulus Pauline, AGPCNP-C

  • Nurse Practitioner
  • Buford, GA
National Provider Identifier
1770959660
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN176139 Issued in GA
Practice address
2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone
(678) 979-3905
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN176139 GA Primary

Addresses

Primary practice location

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783

Mailing address

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone (678) 804-4297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151014001518 GA Practitioner - Nurse Practitioner 0244549277 Reassigns benefits to 4 organizations
Practice locations: Lawrenceville, GA
I20260113002908 WA Practitioner - Nurse Practitioner 0244549277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-4321

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services,LLC CurrentSince Apr 1, 2020 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Nouveaux U Wellness Professional Corporation Nurse Practitioner CurrentSince Nov 10, 2024 Accepting new patients
Nouveaux U Behavioral Health Professional Corporation CurrentSince Mar 20, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Apr 1, 2020 Accepting new patients
24 On Physicians, P.C. CurrentSince Sep 1, 2015 Accepting new patients
American Behavioral Health Systems, Inc. CurrentSince Dec 1, 2025 Accepting new patients
24 On Physicians, PC CurrentSince Sep 1, 2015 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

2675 Mall of Georgia Blvd
Ste 103
Buford, GA 30519
Phone (678) 979-3905

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

44 E Cozza Dr
Spokane, WA 99208
Phone (253) 227-3802

1230 Monitor St
Wenatchee, WA 98801
Phone (253) 227-3802

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.

Hospital & facility affiliations 2

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1770959660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-804-4297",
            "fax_number": "877-710-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-979-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINE",
        "first_name": "MELISSA",
        "middle_name": "ROMULUS",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN176139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.