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MELBA SALLEY
NPI 1912769159
Nurse Practitioner - Family in Lawrenceville, GA

Active since January 24, 2024PECOS EnrolledAccepts Medicare Assignment
2200 MEDICAL CENTER BLVD STE 200, LAWRENCEVILLE, GA 30046(404) 962-6000 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melba Salley NPPES

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

MELBA SALLEY (NPI 1912769159) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN158312) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912769159
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELBA SALLEY
Location Address2200 MEDICAL CENTER BLVD STE 200Lawrenceville, GA 30046-7765
Mailing Address390 Andelle AveSuwanee, GA 30024-1004 · (678) 341-9246
Phone(404) 962-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1912769159 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 · RN158312
2200 MEDICAL CENTER BLVD STE 200, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melba Salley 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 ID1951747898
PECOS Enrollment IDI20240313003020
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 Reassignment

Medicare enrollment records show Melba Salley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Cardiovascular Professional Services, LLC
19 mi
Cardiovascular Disease
1285 UPPER HEMBREE RD
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 175 clinicians in this Medicare group
NPI 1518979921 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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 8

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

CHI ZHANG MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-1000
JESSICA BLACKBURN
Nurse Practitioner (Acute Care)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 845-8200
YASSER RODRIGUEZ MD,MBA
Internal Medicine (Clinical Cardiac Electrophysiology)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (048) 458-2004
TARUN RAMAYYA MD
Internal Medicine (Cardiovascular Disease)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 845-8200
HEVAL MOHAMED KELLI M.D.
Internal Medicine (Cardiovascular Disease)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 845-8200
DR. COURTNEY RAQUEL BESS MD
Internal Medicine (Cardiovascular Disease)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 962-6000
ANDRONICA WIGGINS NP
Nurse Practitioner (Family)
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 962-6000
JOSEPH NATHANIEL SMITH PA
Physician Assistant
2200 MEDICAL CENTER BLVD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 845-8200

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 Melba Salley's NPI number?

The NPI number for Melba Salley is 1912769159. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Melba Salley located?

Melba Salley practices at 2200 Medical Center Blvd Ste 200, Lawrenceville, GA 30046. The listed phone number is (404) 962-6000.

What is Melba Salley's specialty?

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

Is Melba Salley enrolled in Medicare?

Yes. Melba Salley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melba Salley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melba Salley reassigns Medicare benefits to Northside Cardiovascular Professional Services, LLC (Roswell, GA). The 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 Melba Salley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melba Salley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Melba Salley 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 Melba Salley was last updated on January 24, 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.