Wendy Barnes-Mellstrom, R.N, B.S.N, M.S.N,

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

363LP0808X Issued in GA

Practice address

2150 Peachford Rd
Atlanta, GA 30338

Phone

(770) 330-8001

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHAGBD
• FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Atlanta Psychiatry & Neurology

  • Psychologist
  • Smyrna, GA
  • NPI 1043348519
  Medicare reassignment NPD
• Piedmont Athens Specialty Care LLC

  • Cardiovascular Disease Physician
  • Athens, GA
  • NPI 1184130627
  Medicare reassignment NPD
• West Cobb Medical Associates, LLC

  • Internal Medicine Physician
  • Lithia Springs, GA
  • NPI 1740454099
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1982956454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386520",
            "telephone_number": "770-330-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-330-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4171 Marietta St",
            "address_2": "Suite 300a",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301272696",
            "country_code": "US",
            "telephone_number": "770-943-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4171 Marietta St",
            "address_2": "Suite 300a",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301272696",
            "country_code": "US",
            "telephone_number": "770-943-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES-MELLSTROM",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "R.N, B.S.N, M.S.N,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "363LP0808X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santerrius Jacquard Barlow
• Shatoyia Jereka-Inez Barlow, NP
• Janie Beth Barnabei, OT
• Barnes Drug Stores of Valdosta, Inc
• Barnes Drug Stores of Valdosta, Inc
• Sidney J Barnes-O'Gorman, D.C.
• Albert Earl Barnes III, LMT
• Amanda Dempsey Barnes, LMFT
• Amber Barnes, LPC
• Anastasia Barnes

• Adult Psychiatric/Mental Health Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.