Individual provider Active NPI

Melanie Coyne, MSN, AGAC-NP

  • Acute Care Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1962926279
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN198681 Issued in GA
Practice address
101 13TH St Ste 200
Columbus, GA 31901-2183
Phone
(706) 494-4949
NPI assigned
Jul 28, 2017
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN198681 GA Primary

Addresses

Primary practice location

101 13TH St Ste 200
Columbus, GA 31901-2183

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 494-4300

Other practice location 1

61 quince ct
waverly hall, GA 31831
Phone (706) 358-1051

Other practice location 2

2205 Rosemont Dr
Columbus, GA 31904-7368
Phone (706) 565-9447

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
I20171213001696 GA Practitioner - Nurse Practitioner 1153689518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 Rosemont Dr
Columbus, GA 31904-7368
Phone (706) 565-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare & Injury Center LLC CurrentSince Oct 23, 2023 Accepting new patients
Edwards Chiropractic and Rehabilitation Center PastSince Oct 23, 2023 Accepting new patients

Locations

2205 Rosemont Dr
Columbus, GA 31904
Phone (706) 442-2380

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1962926279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-494-4300",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 13TH ST STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012183",
            "telephone_number": "706-494-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 quince ct",
            "address_purpose": "LOCATION",
            "city": "waverly hall",
            "state": "GA",
            "postal_code": "31831",
            "country_code": "US",
            "telephone_number": "17063581051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Rosemont Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319047368",
            "country_code": "US",
            "telephone_number": "706-565-9447",
            "fax_number": "706-565-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "MELANIE",
        "credential": "MSN, AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN198681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.