Melissa Mason, NP

Key facts

NPI

1831706449

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

RN239844 (GA)

Practice address

700 Oglethorpe Ave # C7
Athens, GA 30606-2221

Phone

(706) 425-9445

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Athens Model Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Athens, GA · NPI 1275751448
  Medicare reassignment Care Compare group GA
• Athens Model Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Athens, GA · NPI 1093932683
  Care Compare group NPD
• Athens Model Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Athens, GA · NPI 1053962902
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Model Neighborhood Health Center Inc (9 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Melissa Zeagler Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2020.

{
    "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"
        }
    ]
}

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All providers in Athens, GA · Family Nurse Practitioner in Georgia