Active NPI
Melissa Joy Probst, APRN
- Family Nurse Practitioner
- Marietta, GA
National Provider Identifier
1861641839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 225300
- Practice address
- 687 Johnson Ferry Rd
Marietta, GA 30068-4628 - Phone
- (770) 977-9220
- NPI assigned
- Sep 15, 2008
- Last updated
- Oct 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 335696 | NY | |
| Family Nurse Practitioner | 363LF0000X | 225300 | GA | Primary |
Addresses
Primary practice location
687 Johnson Ferry Rd
Marietta, GA 30068-4628
Mailing address
623 Belmont Crest Dr SE
Marietta, GA 30067-9124
Phone (646) 596-6137
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone (478) 953-1020
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.34 of 100
- Quality
- 90.49
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225300 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William E. Freeman, MD | Current | Accepting new patients | |
| William E Freeman, MD | Current | Accepting new patients |
Locations
136 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 953-1020
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1861641839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 BELMONT CREST DR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300679124",
"telephone_number": "646-596-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684628",
"telephone_number": "770-977-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "MELISSA",
"middle_name": "JOY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335696",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "225300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Pro Health and Rehab LLC
- Pro Healthcare of Marietta, LLC (Optimum Health of Marietta)
- Pro Performance Therapy, LLC
- Pro- Holism Professional Corporation (Primary Medical Healthcare Practice)
- Proactive Physicians of Marietta, PC
- Procare Medical Group, LLC
- Marie-Therese N Proctor, PHARMD
- Professional Premium Services Inc
- Progressive Diabetic Solutions
- Progressive Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.