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MELANIE E BLANTON FNP-C
NPI 1427691047
Nurse Practitioner - Family in Cumming, GA

Active since October 27, 2019PECOS Enrolled
5610 BETHELVIEW RD STE 500A, CUMMING, GA 30040(678) 821-5376 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 15, 2026, Apr 7, 2026, Oct 27, 2019 (3 updates tracked since 2019).

About Melanie E Blanton Fnp-c NPPES

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

MELANIE E BLANTON FNP-C (NPI 1427691047) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN222827) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427691047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE E BLANTONCredential: FNP-C
Location Address5610 BETHELVIEW RD STE 500ACumming, GA 30040-7530
Mailing Address3641 Schooner RdgAlpharetta, GA 30005-4290 · (678) 640-5751
Phone(678) 821-5376
Sole ProprietorNo
Enumeration DateOctober 27, 2019
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1427691047 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 · RN222827
5610 BETHELVIEW RD STE 500A, Cumming, GA 30040
Open in Google Maps ↗

Other Names 1

Other Name (5)Melanie Tubb Fnp-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie E Blanton Fnp-c 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

2

Medicare enrollment records show Melanie Blanton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Choice Urgent Care, LLC
7.0 mi
Urgent Care
5910 SUWANEE DAM RD STE 100
Sugar Hill, GA 30518
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1760857072 (470) 326-7600
Advanced Urgent Care LLC
21 mi
Urgent Care
2620 OLD WINDER HWY, STE. 300
Braselton, GA 30517
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1235614074 (678) 821-2401

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 8

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services23 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services33 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.
31 services31 patients
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.
28 services27 patients
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.
21 services21 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

EMILY FAYE BREAULT FNP-C
Nurse Practitioner (Family)
5610 BETHELVIEW RD STE 500A
CUMMING, GA 30040
Forsyth County (678) 821-5376

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 Melanie Blanton's NPI number?

The NPI number for Melanie Blanton is 1427691047. It was assigned to this individual provider in the NPPES registry on October 27, 2019. The provider is also known as Melanie Tubb Fnp-C.

Where is Melanie Blanton located?

Melanie Blanton practices at 5610 Bethelview Rd Ste 500A, Cumming, GA 30040. The listed phone number is (678) 821-5376.

What is Melanie Blanton's specialty?

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

Is Melanie Blanton enrolled in Medicare?

Yes. Melanie Blanton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melanie Blanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Blanton reassigns Medicare benefits to 2 organizations: Health Choice Urgent Care, LLC (Sugar Hill, GA) and Advanced Urgent Care LLC (Braselton, 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 Melanie Blanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Blanton accept?

Health plans from CareSource (Common Ground Healthcare) list Melanie Blanton 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 Melanie Blanton was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.