MRS. MELVANIE MELTON-SMITH NP-C
NPI 1104293927
Nurse Practitioner - Family in Fitzgerald, GA

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
162 OCILLA HWY STE 14, FITZGERALD, GA 31750(229) 239-9677(229) 423-4387 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melvanie Melton-smith Np-c NPPES

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

MRS. MELVANIE MELTON-SMITH NP-C (NPI 1104293927) is an individual family provider in Fitzgerald, Georgia, licensed in Georgia (RN155243) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Dorminy Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104293927
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELVANIE MELTON-SMITHCredential: NP-C
Location Address162 OCILLA HWY STE 14Fitzgerald, GA 31750-3795
Mailing Address162 Ocilla Hwy Ste 14Fitzgerald, GA 31750-3795 · (229) 239-9677
Fax(229) 423-4387
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2015
Last NPPES UpdateJuly 26, 2023
NPPES CertifiedJuly 25, 2023
NPI 1104293927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN155243
162 OCILLA HWY STE 14, Fitzgerald, GA 31750

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Melvanie Melton-smith Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678874542
PECOS Enrollment IDI20240305001275
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dorminy Medical Center

Acute Care Hospitals · Fitzgerald, GA
OwnershipGovernment - Local
CMS Certification Number110073
Location200 Perry House Road, Box 1447Fitzgerald, GA 31750 · Ben Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims17 services$6.58 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers22 claims22 services$48.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
162 OCILLA HWY STE 14
FITZGERALD, GA 31750

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 Melvanie Melton-smith's NPI number?

The NPI number for Melvanie Melton-smith is 1104293927. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Melvanie Melton-smith located?

Melvanie Melton-smith practices at 162 Ocilla Hwy Ste 14, Fitzgerald, GA 31750. The listed phone number is (229) 239-9677.

What is Melvanie Melton-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melvanie Melton-smith enrolled in Medicare?

Yes. Melvanie Melton-smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Melvanie Melton-smith affiliated with any hospitals?

According to CMS data, Melvanie Melton-smith is affiliated with Dorminy Medical Center.

When was this NPI record last updated?

The NPPES record for Melvanie Melton-smith was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.