Active NPI
Melissa Ann Martin, MS CCC-SLP
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1821636770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012492
- Practice address
- 1132 Greensward Dr
Tallahassee, FL 32312-6775 - Phone
- (813) 493-1116
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202012492 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP7018 | NM | |
| Speech-Language Pathologist | 235Z00000X | SA6701 | FL |
Addresses
Primary practice location
1132 Greensward Dr
Tallahassee, FL 32312-6775
Mailing address
3425 Bannerman Rd Ste 105
Tallahassee, FL 32312-7063
Phone (813) 493-1116
Other names 1
- Melissa McCollum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601002694 | FL | Practitioner - Qualified Speech Language Pathologist | 2365912201 | |
| I20260616003351 | VA | Practitioner - Qualified Speech Language Pathologist | 2365912201 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6701 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1821636770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BANNERMAN RD STE 105",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323127063",
"telephone_number": "813-493-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 GREENSWARD DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323126775",
"telephone_number": "813-493-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012492",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP7018",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MCCOLLUM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.