Individual provider Active NPI

Melissa M Anderson, MD

  • Obstetrics & Gynecology Physician
  • Watkinsville, GA
National Provider Identifier
1912075797
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
049786 Issued in GA
Practice address
1181 Langford Dr BLDG 300-101
Watkinsville, GA 30677-7305
Phone
(706) 227-8999
Fax
(706) 227-8999
NPI assigned
Dec 1, 2006
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 049786 GA Primary

Addresses

Primary practice location

1181 Langford Dr BLDG 300-101
Watkinsville, GA 30677-7305

Mailing address

1181 Langford Dr BLDG 300-101
Watkinsville, GA 30677-7305
Phone (706) 227-8999

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000383 GA Practitioner - Obstetrics/Gynecology 2466577010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Women's Center of AthensGroup PAC ID 8325007115, 3 clinicians

Practice addresses (Care Compare)

1181 Langford Dr
Watkinsville, GA 30677-7242

1181 Langford Dr
BLDG 300 101
Watkinsville, GA 30677-7305
Phone (706) 227-8999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049786GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Center of Athens Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. Past Accepting new patients
St. Mary's Hospital, Inc. Past Accepting new patients

Locations

830 King Ave
Athens, GA 30606
Phone (706) 227-8999

1181 Langford Dr
Bldg 300-101
Watkinsville, GA 30677
Phone (706) 227-8999

1181 Langford Dr
Bldg 300101
Watkinsville, GA 30677
Phone (706) 227-8999

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1912075797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR BLDG 300-101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777305",
            "telephone_number": "706-227-8999",
            "fax_number": "706-227-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR BLDG 300-101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777305",
            "telephone_number": "706-227-8999",
            "fax_number": "706-227-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.