MELISSA KAY WHITLOW
NPI 1518484047
Physician Assistant in Augusta, GA

Q: What is Melissa Whitlow's NPI number?

The NPI number for Melissa Whitlow is 1518484047. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Q: What is Melissa Whitlow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Whitlow was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 25, 2017PECOS EnrolledAccepts Medicare Assignment

64.9/100

CMS Quality Rating

3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909(706) 863-9595(706) 868-8375 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2020, Apr 15, 2020, Aug 25, 2017 (3 updates tracked since 2017).

On this page

About Melissa Kay Whitlow NPPES

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

MELISSA KAY WHITLOW (NPI 1518484047) is an individual physician assistant in Augusta, Georgia and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1518484047

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMELISSA KAY WHITLOW

Location Address3675 J DEWEY GRAY CIR STE 300Augusta, GA 30909-1868

Mailing AddressPo Box 418427Boston, MA 02241-8427 · (610) 644-8900 · Fax (484) 924-0053

Phone(706) 863-9595

Fax(706) 868-8375

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 25, 2017

Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1518484047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3675 J DEWEY GRAY CIR STE 300, Augusta, GA 30909

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Secondary Practice Location 1

Location 1630 13th St Ste 250Augusta, GA 30901-1017 · Phone (706) 724-2500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Kay Whitlow 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 ID5496013294

PECOS Enrollment IDI20171228001207

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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.

64.9/100

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

Scored as part of a group practice

Quality

41.57

Improvement Activities

Cost

44.25

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.

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