1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MELISSA ORTIZ PENA MD
NPI 1043726920
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since December 14, 2017PECOS Enrolled
12 EXECUTIVE PARK DR NE STE 142, ATLANTA, GA 30329(404) 727-4746 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Apr 26, 2026, May 24, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Melissa Ortiz Pena Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA ORTIZ PENA MD (NPI 1043726920) is an individual student in an organized health care education/training program in Atlanta, Georgia, licensed in Georgia (113548) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043726920
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MELISSA ORTIZ PENACredential: MD
Location Address12 EXECUTIVE PARK DR NE STE 142Atlanta, GA 30329-2206
Mailing AddressPo Box 29134San Juan, PR 00929-0134 · (787) 758-2525
Phone(404) 727-4746
Sole ProprietorNo
Enumeration DateDecember 14, 2017
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1043726920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 113548
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 21320 (PR)
12 EXECUTIVE PARK DR NE STE 142, Atlanta, GA 30329
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Ortiz Pena Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA MEDEIROS M.D.
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
HANNAH LESLIE ALBRITTON
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
CATHERINE SARAH O'LEARY
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-6143
AIDA RISMAN
Psychiatry & Neurology (Epilepsy)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-1452
NAZAREE EDWARDS MD
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
DR. BENJAMIN MAXEY MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
PHOI BUI MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 778-5526
DR. CRISTINA M PRITCHETT MD
Psychiatry & Neurology (Geriatric Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 712-6934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Ortiz Pena's NPI number?

The NPI number for Melissa Ortiz Pena is 1043726920. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Where is Melissa Ortiz Pena located?

Melissa Ortiz Pena practices at 12 Executive Park Dr NE Ste 142, Atlanta, GA 30329. The listed phone number is (404) 727-4746.

What is Melissa Ortiz Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melissa Ortiz Pena enrolled in Medicare?

Yes. Melissa Ortiz Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Ortiz Pena was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.