MS. MELODY NICOLE RESTO-BURTON APRN
NPI 1992204275
Nurse Practitioner - Acute Care in Lawrenceville, GA

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046(770) 736-6300 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Melody Nicole Resto-burton Aprn NPPES

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

MS. MELODY NICOLE RESTO-BURTON APRN (NPI 1992204275) is an individual acute care provider in Lawrenceville, Georgia, licensed in Georgia (RN226821) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and maintains a secondary practice location in Snellville.

NPPES Registry Identity

NPI1992204275
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MELODY NICOLE RESTO-BURTONCredential: APRN
Location Address766 WALTHER RD STE 100Lawrenceville, GA 30046-8765
Mailing Address1600 Medical WaySnellville, GA 30078-2166
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 1, 2018
Last NPPES UpdateJanuary 25, 2019
✔ NPI 1992204275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN226821
766 WALTHER RD STE 100, Lawrenceville, GA 30046

Secondary Practice Location 1

Location 11700 Medical WaySnellville, GA 30078-2195 · Phone (770) 736-6300

Accepted 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

Ms. Melody Nicole Resto-burton Aprn 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 ID5193074557
PECOS Enrollment IDI20180817000656
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

6

Medicare enrollment records show Melody Resto-burton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
Family Medicine
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 466 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group

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 3

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
97 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

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.

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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Physician Assistant
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Physician Assistant (Surgical)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046

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 Melody Resto-burton's NPI number?

The NPI number for Melody Resto-burton is 1992204275. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Melody Resto-burton located?

Melody Resto-burton practices at 766 Walther Rd Ste 100, Lawrenceville, GA 30046. The listed phone number is (770) 736-6300.

What is Melody Resto-burton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melody Resto-burton enrolled in Medicare?

Yes. Melody Resto-burton 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 organizations bill Medicare for Melody Resto-burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Resto-burton reassigns Medicare benefits to 6 organizations: Gwinnett Physician Group, LLC (Lawrenceville, GA), Northside Primary Care Professional Services,llc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA), Grady Memorial Hospital Corporation (Atlanta, GA), Piedmont Specialty Hospital Billing LLC (Jasper, GA) and 1 more organization, listed in the Medicare section above. 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 Melody Resto-burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melody Resto-burton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Melody Resto-burton 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.

Is Melody Resto-burton affiliated with any hospitals?

According to CMS data, Melody Resto-burton is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melody Resto-burton was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.