Individual provider Active NPI

Melissa Gail Hixson, FNP

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1912464447
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000025399 Issued in TN
Practice address
2253 Chambliss Ave NW Ste 301
Cleveland, TN 37311-3961
Phone
(423) 476-4466
Fax
(423) 476-4487
NPI assigned
Feb 20, 2019
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 APN0000025399 TN Primary
Family Nurse Practitioner 363LF0000X 276366 GA

Addresses

Primary practice location

2253 Chambliss Ave NW Ste 301
Cleveland, TN 37311-3961

Mailing address

2253 Chambliss Ave NW Ste 301
Cleveland, TN 37311-3961
Phone (423) 476-4466

Other names 1

  • Melissa Hixson Randle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190722002975 GA Practitioner - Nurse Practitioner 1153657689 Reassigns benefits to 1 organization
I20231101001415 TN Practitioner - Nurse Practitioner 1153657689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
276366GAMDFamily Nurse Practitioner
APN0000025399TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Cardiology Group CurrentSince Jul 8, 2019 Accepting new patients
Bradley Physician Services, LLC Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

102 Gross Crescent Cir
Ste 205
Ft Oglethorpe, GA 30742
Phone (706) 858-1195

132 Battlefield Crossing Ct
Ringgold, GA 30736
Phone (706) 858-3988

132 Battlefield Crossing Ct
#C
Ringgold, GA 30736
Phone (706) 858-3988

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

6059 Arbury Way
#101
Ooltewah, TN 37363
Phone (423) 238-8880

Interoperability endpoints

  • Direct secure messaging: melissa.hixson.1@31613.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1912464447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 301",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113961",
            "telephone_number": "423-476-4466",
            "fax_number": "423-476-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 301",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113961",
            "telephone_number": "423-476-4466",
            "fax_number": "423-476-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "MELISSA",
        "middle_name": "GAIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000025399",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "276366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RANDLE",
            "middle_name": "HIXSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.