MELISSA ANN MCDOWELL FNP-BC
NPI 1366949521
Nurse Practitioner - Family in Athens, GA

Q: What is Melissa Mcdowell's NPI number?

The NPI number for Melissa Mcdowell is 1366949521. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Melissa Mcdowell'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 Mcdowell was last updated on December 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment

90.5/100

CMS Quality Rating

775 SUNSET DR, ATHENS, GA 30606(706) 425-1500(706) 425-1550 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2020, Apr 12, 2018 (2 updates tracked since 2018).

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About Melissa Ann Mcdowell Fnp-bc NPPES

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

MELISSA ANN MCDOWELL FNP-BC (NPI 1366949521) is an individual family provider in Athens, Georgia, licensed in Ohio (APRN.CNP.025279) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366949521

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA ANN MCDOWELLCredential: FNP-BC

Location Address775 SUNSET DRAthens, GA 30606-2211

Mailing Address3519 Lake Mill RdBuford, GA 30519-5352

Phone(706) 425-1500

Fax(706) 425-1550

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 12, 2018

Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration

NPPES CertifiedDecember 28, 2020

✔ NPI 1366949521 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 OH · APRN.CNP.025279

775 SUNSET DR, Athens, GA 30606

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Secondary Practice Location 1

Location 1616 19th StColumbus, GA 31901-1528 · Phone (706) 425-1500 · Fax (706) 425-1550

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Melissa Ann Mcdowell Fnp-bc 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 ID941550685

PECOS Enrollment IDI20210108002361

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.

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.75

Promoting Interoperability

100

Improvement Activities

Cost

77.59

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.

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