Melanie a Reaves PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MELANIE A REAVES PLLC

Doing business as

The Family Clinic

Practice address

1440 Pickwick St
Savannah, TN 38372

Phone

(731) 925-3354

Fax

(731) 438-3581

NPI assigned

Jun 4, 2007

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie A Reaves, NPNPI 1669543492

Title

Owner

Phone

(731) 925-3354

Specialties & licenses 2

Addresses

Other names 1

• The Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851593594. Details of each certification follow.

• CCN 448963 Rural health clinic · Active · Details

Rural health clinic certification: CCN 448963

Legal name

MELANIE A REAVES PLLC

Doing business as

THE FAMILY CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 28, 2016

Last certification

Mar 28, 2016

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

1440 Pickwick St
Savannah, TN 38372-3519

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Melanie A Reaves, FNP

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1669543492

  5% Or Greater Direct Ownership Interest

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Family Clinic at the Lake PLLC

  • Rural Health Clinic/Center
  • Counce, TN
  • NPI 1578125647

  Sold to, 2019-11-01

  CMS change of ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie A Reaves, FNP

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1669543492
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Wallace, FNP

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1174315329
  Medicare reassignment Care Compare group
• Krystal Lasha Long, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Counce, TN
  • NPI 1528637493
  NPD
• Stacie Anne Westmoreland, FNP-BC

  • Family Nurse Practitioner
  • Counce, TN
  • NPI 1972335131
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1851593594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720055",
            "telephone_number": "731-925-3354",
            "fax_number": "731-925-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-925-3354",
            "fax_number": "731-438-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE A REAVES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-925-3354",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lorene McGaha, LPC MHSP
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• Darin Keith McLain, P.A.
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• Angela M Melson, APRN
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• Rural Health Clinic/Center in Savannah, TN
• Providers in Savannah, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.