Individual provider Active NPI

Melissa Joy Probst, APRN

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1861641839
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225300 Issued in GA
Practice address
687 Johnson Ferry Rd
Marietta, GA 30068-4628
Phone
(770) 977-9220
NPI assigned
Sep 15, 2008
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000353 GA Practitioner - Nurse Practitioner 9638227564 Reassigns benefits to 1 organization

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
William E. Freeman, MDGroup PAC ID 8921096199, 5 clinicians

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 100Reported as group
Quality
90.49
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225300GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William E. Freeman, MD CurrentSince Mar 1, 2023 Accepting new patients
William E Freeman, MD CurrentSince Mar 1, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.