MELISSA BEASLEY (NP) – Family Nurse Practitioner, NPI 1700259108

MELISSA BEASLEY (NP) is a healthcare provider. based in Statesboro, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN204841 (GA). The NPI Number for MELISSA BEASLEY (NP) is 1700259108

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA BEASLEY (NP)
NPI
1700259108
Phone
(912) 871-2200
Address
450 GEORGIA AVE STE B
Enumeration Date
6 November 2015
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4782891100
Graduation Year
2015 (11 years ago)
PAC ID
1052741790
Group Practice PAC ID
9335037571
Professional Enrollment ID
I20200421002798
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MELISSA BEASLEY (NP)

  • 450 GEORGIA AVE STE B

    STATESBORO, GA 304585590

    Phone: (912) 871-2200

    Fax: (912) 871-2220

    Type: Location

  • 1096 Bermuda Run

    Statesboro, GA 304580858

    Phone: (912) 871-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200421002798INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg20020$0
J0696Injection, ceftriaxone sodium, per 250 mg5213$0
96372Injection of drug or substance under skin or into muscle3827$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
87804Detection test by immunoassay with direct visual observation for influenza virus2915$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335037571View full group profile
NameSpecialtyState
Family PracticeAL
Emergency MedicineNV
-GA
-TN
Family PracticeGA
Emergency Medicine, Internal MedicineGA
Emergency MedicineGA
Family Practice, Emergency MedicineGA
-GA
Pediatric Medicine, Otolaryngology, Otolaryngology, Emergency Medicine, Pediatric Medicine, Emergency MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify MELISSA BEASLEY (NP) for billing?
Administrative and clinical systems typically use NPI 1700259108 for MELISSA BEASLEY (NP).
Quick check: is MELISSA BEASLEY (NP) active?
Public NPPES data shows MELISSA BEASLEY (NP) with an active NPI status right now.
Which specialty label fits MELISSA BEASLEY (NP)?
NPPES ties MELISSA BEASLEY (NP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MELISSA BEASLEY (NP)?
MELISSA BEASLEY (NP) shows a connection to Statesboro, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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