Individual provider Active NPI

Melissa Mason, NP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1831706449
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239844 Issued in GA
Practice address
700 Oglethorpe Ave # C7
Athens, GA 30606-2221
Phone
(706) 425-9445
NPI assigned
Sep 28, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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 RN239844 GA Primary

Addresses

Primary practice location

700 Oglethorpe Ave # C7
Athens, GA 30606-2221

Mailing address

2365 S Lumpkin St Apt 8
Athens, GA 30606-6609
Phone (912) 682-7332

Other names 1

  • Melissa Zeagler Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220208001196 GA Practitioner - Nurse Practitioner 1052704475 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

675 College Ave
Athens, GA 30601-2635
Phone (706) 546-5526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN239844GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Model Neighborhood Health Center Inc CurrentSince Aug 5, 2024 Accepting new patients
Athens Model Neighborhood Health Center Inc CurrentSince Aug 5, 2024 Accepting new patients

Locations

402 McKinley Dr
Athens, GA 30601
Phone (706) 543-1145

675 College Ave
Athens, GA 30601
Phone (706) 546-5526

870 Gaines School Rd
Athens, GA 30605
Phone (706) 546-7463

Organizations & group practices 3

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1831706449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 S LUMPKIN ST APT 8",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066609",
            "telephone_number": "912-682-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OGLETHORPE AVE # C7",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062221",
            "telephone_number": "706-425-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ZEAGLER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.