Individual provider Active NPI

Melissa Goldman, CRNP

  • Family Nurse Practitioner
  • Loxley, AL
National Provider Identifier
1811598261
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147135 Issued in AL
Practice address
2127 N Hickory St Ste E
Loxley, AL 36551-2412
Phone
(850) 466-1070
Fax
(539) 666-1602
NPI assigned
Nov 3, 2020
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-174135 AL
Family Nurse Practitioner 363LF0000X 1-147135 AL Primary
Family Nurse Practitioner 363LF0000X 0 AL
Registered Nurse 163W00000X 1-147135 AL

Addresses

Primary practice location

2127 N Hickory St Ste E
Loxley, AL 36551-2412

Mailing address

100 Cambridge St
Boston, MA 02114-2509
Phone (888) 731-8994

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 2

100 Cambridge St
14th Floor, Suite 1400
Boston, MA 02114-2509
Phone (888) 731-8994

Other practice location 3

2010 Patton Chapel Rd Ste 103
Birmingham, AL 35216-5783
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20210429000979 AL Practitioner - Nurse Practitioner 2567871791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care Foley, LLCGroup PAC ID 9830330695, 6 clinicians
Immediate Care Center of the South, LLCGroup PAC ID 8628133683, 5 clinicians

Practice addresses (Care Compare)

1265 S McKenzie St
Foley, AL 36535-1818
Phone (251) 923-4633

4270 Cottage Hill Rd
Mobile, AL 36609-4286
Phone (251) 300-2770

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-147135ALMDFamily Nurse Practitioner
1-174135ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Center of the South, LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Foley Clinic Corp CurrentSince Apr 1, 2021 Accepting new patients
Immediate Care Foley LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Foley Clinic Corp Single Specialty CurrentSince Apr 1, 2021 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

21141 State Highway 59
Ste 1
Robertsdale, AL 36567
Phone (251) 424-1160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1811598261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142509",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 N HICKORY ST STE E",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "365512412",
            "telephone_number": "850-466-1070",
            "fax_number": "539-666-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cambridge St",
            "address_2": "14th Floor, Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Patton Chapel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352165783",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MELISSA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-174135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147135",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "0",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-147135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxley, AL

Sources for this page

Verify at the official NPI Registry.