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MELONY ETHEL SHELTON GREEN
NPI 1497369516
Nurse Practitioner - Family in Sandy Springs, GA

Active since September 04, 2020PECOS Enrolled
5 CONCOURSE PKWY, SANDY SPRINGS, GA 30328(855) 492-7642 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Sep 4, 2020 (2 updates tracked since 2020).

About Melony Ethel Shelton Green NPPES

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

MELONY ETHEL SHELTON GREEN (NPI 1497369516) is an individual family provider in Sandy Springs, Georgia, licensed in Georgia (RN268792) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497369516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELONY ETHEL SHELTON GREEN
Location Address5 CONCOURSE PKWYSandy Springs, GA 30328-5350
Mailing Address5 Concourse PkwySandy Springs, GA 30328-5350 · (855) 492-7642
Phone(855) 492-7642
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2020
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
✔ NPI 1497369516 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 · RN268792
5 CONCOURSE PKWY, Sandy Springs, GA 30328
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melony Ethel Shelton Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658788393
PECOS Enrollment IDI20250801003547
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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 2

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

JADE BROWN
Nurse Practitioner (Family)
5 CONCOURSE PKWY
ATLANTA, GA 30328
Fulton County (855) 492-7642
OUT THE BLUE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5 CONCOURSE PKWY
ATLANTA, GA 30328
Fulton County (470) 827-7356

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 Melony Green's NPI number?

The NPI number for Melony Green is 1497369516. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Melony Green located?

Melony Green practices at 5 Concourse Pkwy, Sandy Springs, GA 30328. The listed phone number is (855) 492-7642.

What is Melony Green's specialty?

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

Is Melony Green enrolled in Medicare?

Yes. Melony Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melony Green was last updated on February 5, 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.