Mellayne R Myers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

048447 Issued in GA

Practice address

4660 Riverside Park Blvd
Macon, GA 31210-1395

Phone

(478) 474-2114

Fax

(478) 474-5043

NPI assigned

Jun 7, 2006

Last updated

May 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Piedmont Sports Medicine & Orthopaedic Clinic, PC

  dba Barnes Orthopedic Center,LLC

  • Orthopaedic Surgery Physician
  • Macon, GA
  • NPI 1396760260
  NPD
• Asthma, Sinus and Allergy Centers, LLC

  • Allergy & Immunology Physician
  • Cranford, NJ
  • NPI 1457423022
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1871533877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101395",
            "telephone_number": "478-474-2114",
            "fax_number": "478-474-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101395",
            "telephone_number": "478-474-2114",
            "fax_number": "478-474-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MELLAYNE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000872858A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MVP Physio Dr. LLC
• Anthony Kimani Mwangi, M.D.
• Briana Myers, OTR
• Deborah Myers, PA
• George J. Myers, CRNA
• Susan T Myers, CRNA
• Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
• Joneshia Myles, LMT
• Valencia Natavious Myrick
• Flesha Myricks, LPN

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.