Larissa Aleksandrovna Melnik, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008409 Issued in GA

Practice address

1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804

Phone

(770) 800-3455

Fax

(770) 450-8024

NPI assigned

Jul 25, 2017

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Cleaver Medical Group Dermatology Inc

  • Dermatology Physician
  • Cumming, GA
  • NPI 1841852076
  Medicare reassignment Care Compare group NPD
• Advanced Urgent Care LLC

  • Urgent Care Clinic/Center
  • Braselton, GA
  • NPI 1235614074
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1780107474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 JESSE JEWELL PKWY SE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013804",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIK",
        "first_name": "LARISSA",
        "middle_name": "ALEKSANDROVNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Sessions Meier, PA
• Lisa Estella Meighan, NNP-BC
• Monica Mejia Acosta, M.D.
• Melanie Burt and Associates Inc
• Achenef Getu Melese, M.D
• Memorial Ambulance LLC
• Natalie Mendez Rivera, DC
• Rachana Mendpara, MD
• Alemayehu Ayalew Mengistu, M.D.
• Eleanor Marie Mentonelli, PA-C

• Physician Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.