MELISSA RACHEL DOWNEY MD
NPI 1104566991
Internal Medicine in Lawrenceville, GA
About Melissa Rachel Downey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA RACHEL DOWNEY MD (NPI 1104566991) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (104460) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Medical College Of Georgia School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Rachel Downey Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Melissa Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital Duluth
Acute Care Hospitals · Duluth, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Downey's NPI number?
The NPI number for Melissa Downey is 1104566991. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Melissa Downey located?
Melissa Downey practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.
What is Melissa Downey's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Melissa Downey enrolled in Medicare?
Yes. Melissa Downey 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.
Which organization bills Medicare for Melissa Downey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Downey reassigns Medicare benefits to North Atlanta Professional Services LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Downey accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Melissa Downey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Melissa Downey affiliated with any hospitals?
According to CMS data, Melissa Downey is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.
When was this NPI record last updated?
The NPPES record for Melissa Downey was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Melissa Rachel Downey, MD · NPI 1104566991
Internal Medicine physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1104566991 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 104460 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046-7694
- **Phone:** (678) 312-1000 · **Fax:** (678) 312-3282
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104566991) · Data from the CMS NPPES public registry.