LARRY B. MELLICK (MD) – Emergency Medicine Physician, NPI 1841309804
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 EMERGENCY MEDICINE in GA
Provider Addresses for LARRY B. MELLICK (MD)
1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States
STE 1400
AUGUSTA, GA 309012602
Phone: (706) 828-6410
Type: Mailing
1120 15th St
Augusta, GA 309120004
Phone: (706) 721-4951
Fax: (706) 721-7941
Type: Location
300 E MCBEE AVE STE 300
GREENVILLE, SC 296012899
Phone: (864) 522-8603
Type: Mailing
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 292036896
Phone: (803) 434-1663
Fax: (803) 434-1663
Type: Location
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
AUGUSTA, GA 309120004
Phone: (706) 721-4951
Fax: (706) 721-7941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $7,078.
Total Amount is formed as General ($7,078) + Research ($0) + Ownership ($0) = $7,078.
Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Abbott Laboratories ($7,078).
Total Amount
$7,078
General + Research + Ownership
Payments
8
Total payment records
General Amount
$7,078
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $7,078 |
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: 2026-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090603000383 | I | Emergency Medicine | GA | TBD |
| I20250714003684 | I | Emergency Medicine | TX | TBD |
| I20260112000597 | I | Emergency Medicine | SC | 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 30901)
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