LARISSA ALEKSANDROVNA MELNIK (PA) – Physician Assistant, NPI 1780107474
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for LARISSA ALEKSANDROVNA MELNIK (PA)
59 TIPTON DR
DAHLONEGA, GA 305331603
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Mailing
3550, Montana Road, Buford Horizons Mobile Home Park, Gwinnett County, Georgia, 30519, United States
BUFORD, GA 305195088
Phone: (404) 683-7541
Type: Mailing
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 300244542
Phone: (770) 831-5525
Type: Mailing
5610 BETHELVIEW RD STE 500A
CUMMING, GA 300407530
Phone: (770) 205-2804
Fax: (770) 205-2854
Type: Location
1488 JESSE JEWELL PKWY SE STE 100
GAINESVILLE, GA 305013804
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $509.
Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($153).
Total Amount
$509
General + Research + Ownership
Payments
7
Total payment records
General Amount
$509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $153 |
| GENZYME CORPORATION | $131 |
| Galderma Laboratories, L.P. | $125 |
| SANOFI-AVENTIS U.S. LLC | $100 |
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: 2017-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170906001544 | I | Physician Assistant | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA |
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