Melissa Marie Fussell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004346 Issued in GA

Practice address

5612 Whitesville Rd
Columbus, GA 31904-9031

Phone

(706) 322-2223

Fax

(706) 324-5233

NPI assigned

Nov 6, 2006

Last updated

Aug 24, 2019By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Acute Care Emergence

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1225539760
  Medicare reassignment
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment
• Rice and Lake Urology LLP

  • Urology Physician
  • Columbus, GA
  • NPI 1609923796
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1790864064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719264099A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine A Fulton, DC
• Lisa Michelle Funston, FNP
• Furniture Consultants, Inc. (JD Kinder's Furniture Showrooms)
• Glenn Edward Fussell, M.D.
• Katherine Fussell
• Alyson Futral
• Lisa Marie Futrell, N.P.
• G and B Medical LLC
• G. Jeryl Everidge, M.D.,P.C.
• Ga Doctors of Optometry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.