Active NPI
Melissa Mason, NP
- Family Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN239844
- Practice address
- 700 Oglethorpe Ave # C7
Athens, GA 30606-2221 - Phone
- (706) 425-9445
- NPI assigned
- Sep 28, 2020
- Last updated
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN239844 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Model Neighborhood Health Center Inc | Current | Accepting new patients | |
| Athens Model Neighborhood Health Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Athens, GA
- NPI 1275751448
-
dba Hillsman Health Center
- Federally Qualified Health Center (FQHC)
- Athens, GA
- NPI 1053962902
-
- Federally Qualified Health Center (FQHC)
- Athens, GA
- NPI 1093932683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.