Individual provider Active NPI

Melissa Grace Riley, CRNP

  • Family Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1801528765
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-145931 Issued in AL
Practice address
135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352
Phone
(855) 527-7246
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-145931 AL Primary

Addresses

Primary practice location

135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352

Mailing address

14703 Maddox Rd
Andalusia, AL 36420-6532
Phone (334) 488-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20220727002920 AL Practitioner - Nurse Practitioner 8426430125 Reassigns benefits to 2 organizations
I20250826001284 FL Practitioner - Nurse Practitioner 8426430125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

135 Medical Park Dr
Suite 2B
Andalusia, AL 36420-5352
Phone (855) 527-7246

4415 US Hwy 331 S
Suite 500
Defuniak Springs, FL 32435-6307
Phone (855) 527-7246

Hospital & facility affiliations

  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC CurrentSince Jun 20, 2025 Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Jun 20, 2025 Accepting new patients
Southern NP Associates, LLC CurrentSince Jul 5, 2022 Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

408 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-2550

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

142 W 3rd St
Luverne, AL 36049
Phone (334) 335-5331

115 W Paulk Ave
Opp, AL 36467
Phone (334) 493-4558

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

4415 US Highway 331 S
Ste 500
Defuniak Springs, FL 32435

4901 Market Place Rd
Pensacola, FL 32504
Phone (850) 439-5425

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Interoperability endpoints

  • Direct secure messaging: melissa.riley.1@11679.direct.athenahealth.com

Organizations & group practices 4

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1801528765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 MADDOX RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364206532",
            "telephone_number": "334-488-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MEDICAL PARK DR STE 2B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205352",
            "telephone_number": "855-527-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MELISSA",
        "middle_name": "GRACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.