MRS. MELANIE S. BAKER
NPI 1417276536
Counselor - Professional in Statesboro, GA

Active since May 28, 2010Opted out of Medicare · through Feb 18, 2028
123 S ZETTEROWER AVE STE B, STATESBORO, GA 30458(912) 225-3570 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Jun 17, 2025, Feb 5, 2024 and 4 more (7 updates tracked since 2020).

About Mrs. Melanie S. Baker NPPES

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

MRS. MELANIE S. BAKER (NPI 1417276536) is an individual professional provider in Statesboro, Georgia and active in the NPI registry since May 2010. She has opted out of Medicare through February 18, 2028.

NPPES Registry Identity

NPI1417276536
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MELANIE S. BAKER
Location Address123 S ZETTEROWER AVE STE BStatesboro, GA 30458-4898
Mailing Address123 S Zetterower Ave Ste BStatesboro, GA 30458-4898 · (912) 225-3760
Sole ProprietorYes
Enumeration DateMay 28, 2010
Last NPPES UpdateAugust 11, 20257 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1417276536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
123 S ZETTEROWER AVE STE B, Statesboro, GA 30458

Other Identifiers 1

Medicaid0290822OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Melanie S. Baker has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2024 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2024
Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Professional)
123 S ZETTEROWER AVE STE B
STATESBORO, GA 30458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417276536, enumerated as an "individual" on May 28, 2010.

The provider is located at 123 S ZETTEROWER AVE STE B STATESBORO, GA 30458 and the phone number is (912) 225-3570.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.