MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP
NPI 1184311342
Family Medicine in Rogers, AR

Q: What is Melloy Concierge And Aesthetics Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 19, 2023

200 S 20TH ST STE C, ROGERS, AR 72758(479) 278-7010(479) 974-2009 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melloy Concierge And Aesthetics Medical Group NPPES

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

MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP (NPI 1184311342) is a healthcare organization registered as a family medicine in Rogers, Arkansas and active in the NPI registry since April 2023. The organization lists Jonalee Fortiner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184311342

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP

Location Address200 S 20TH ST STE CRogers, AR 72758-1100

Mailing AddressPo Box 3013Bella Vista, AR 72715-0013 · (479) 278-7010 · Fax (479) 974-2009

Phone(479) 278-7010

Fax(479) 974-2009

Organization SubpartNo

Authorized OfficialJonalee FortinerOffice Manager · (479) 435-4207

Enumeration DateApril 19, 2023

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1184311342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 S 20TH ST STE C, Rogers, AR 72758

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melloy Concierge And Aesthetics Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Melloy Concierge And Aesthetics Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Brian Melloy, M.D.

Family Practice

NPI 1457716813

200 S 20TH ST STE C
Rogers, AR 72758

(479) 278-7010

✔ PECOS✔ Accepts MedicareSame address

William Rogers, M.D.

Hospitalist

NPI 1235524869

200 S 20TH ST STE C
Rogers, AR 72758

(479) 278-7010

✔ PECOS✔ Accepts MedicareSame address

Renee Kassir, DO

Hospitalist

NPI 1336375674

609 W MAPLE AVE
Springdale, AR 72764

(479) 751-5711

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Melloy Concierge And Aesthetics Medical Group's NPI number?

The NPI number for Melloy Concierge And Aesthetics Medical Group is 1184311342. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is Melloy Concierge And Aesthetics Medical Group located?

Melloy Concierge And Aesthetics Medical Group is located at 200 S 20th St Ste C, Rogers, AR 72758. The listed phone number is (479) 278-7010.

What is Melloy Concierge And Aesthetics Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melloy Concierge And Aesthetics Medical Group enrolled in Medicare?

Yes. Melloy Concierge And Aesthetics Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melloy Concierge And Aesthetics Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Melloy Concierge And Aesthetics Medical Group, in Family Practice and Hospitalist. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Melloy Concierge And Aesthetics Medical Group was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.