MELISSA C. MCPHAIL FNP-BC
NPI 1295054245
Nurse Practitioner - Family in Macon, GA

Q: What is Melissa Mcphail's NPI number?

The NPI number for Melissa Mcphail is 1295054245. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Melissa Mcphail's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Mcphail was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 28, 2010PECOS Enrolled

575 1ST ST, MACON, GA 31201(478) 743-9762(478) 743-9465 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, Sep 15, 2020 (2 updates tracked since 2020).

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About Melissa C. Mcphail Fnp-bc NPPES

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

MELISSA C. MCPHAIL FNP-BC (NPI 1295054245) is an individual family provider in Macon, Georgia, licensed in Georgia (RN135666) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wrightsville.

NPPES Registry Identity

NPI1295054245

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA C. MCPHAILCredential: FNP-BC

Location Address575 1ST STMacon, GA 31201-2825

Mailing Address575 1st StMacon, GA 31201-2825 · (478) 743-9762 · Fax (478) 743-9465

Phone(478) 743-9762

Fax(478) 743-9465

Sole ProprietorNo

Enumeration DateMay 28, 2010

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1295054245 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 · RN135666

575 1ST ST, Macon, GA 31201

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Secondary Practice Location 1

Location 1PO Box 371Wrightsville, GA 31096-0371 · Phone (478) 290-1374 · Fax (478) 864-1288

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa C. Mcphail Fnp-bc 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.

Medicare Billing Reassignments

Medicare enrollment records show Melissa Mcphail reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical Center Of Central Georgia Inc

0.2 mi

General Acute Care Hospital

777 HEMLOCK ST
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
61 clinicians in this Medicare group

NPI 1043270564 (478) 633-1000

Health Services Of Central Georgia, Inc

0.3 mi

Multi-Specialty

777 HEMLOCK ST
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
483 clinicians in this Medicare group

NPI 1184679482 (478) 633-6713

Community Health Care Systems, Inc

0.6 mi

Clinic/Center

250 MARTIN LUTHER KING JR BLVD
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
69 clinicians in this Medicare group

NPI 1659818623 (478) 864-3448

Avamed Health Care LLC

5.5 mi

Urgent Care

205 TOM HILL SR BLVD STE B
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1174309413 (404) 488-9384

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

144 services144 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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.

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.

MACON CARDIOVASCULAR INSTITUTE

Surgery

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

DR. RANDALL B BROWN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

MUHAMMAD ZEESHAN

Surgery (Vascular Surgery)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

DR. MAURICE M SOLIS M.D.

Surgery (Vascular Surgery)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

DR. JAMES L FOSTER JR. M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

GAIL A. KLINE NP-C

Nurse Practitioner (Family)

575 1ST ST
MACON, GA 31201

Bibb County (478) 742-7566

CHRISTY REBECCA ETHERIDGE FNP

Nurse Practitioner (Family)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

PATRICK KOHTZ M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

575 1ST ST
MACON, GA 31201

Bibb County (478) 743-9762

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 Mcphail's NPI number?

The NPI number for Melissa Mcphail is 1295054245. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Melissa Mcphail located?

Melissa Mcphail practices at 575 1st St, Macon, GA 31201. The listed phone number is (478) 743-9762.

What is Melissa Mcphail's specialty?

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

Is Melissa Mcphail enrolled in Medicare?

Yes. Melissa Mcphail is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Mcphail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Mcphail reassigns Medicare benefits to 4 organizations: The Medical Center Of Central Georgia Inc (Macon, GA), Health Services Of Central Georgia, Inc (Macon, GA), Community Health Care Systems, Inc (Macon, GA) and Avamed Health Care LLC (Macon, GA). Each 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 Mcphail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Mcphail accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Melissa Mcphail 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.

When was this NPI record last updated?

The NPPES record for Melissa Mcphail was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.