MELINDA DUNAVANT – Psychiatric/Mental Health Nurse Practitioner, NPI 1063041689

MELINDA DUNAVANT is a healthcare provider. based in Jackson, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 27225 (TN). The NPI Number for MELINDA DUNAVANT is 1063041689

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MELINDA DUNAVANT
NPI
1063041689
Phone
(731) 660-7971
Address
1804 HIGHWAY 45 BYP STE 604
Enumeration Date
6 April 2020
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8669592008
Graduation Year
2019 (7 years ago)
PAC ID
8628490398
Group Practice PAC ID
0446668826
Professional Enrollment ID
I20250710001858
Address ID
WV253012610CH128XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MELINDA DUNAVANT

  • 1804 HIGHWAY 45 BYP STE 604

    JACKSON, TN 383054403

    Phone: (731) 660-7971

    Fax: (731) 660-8739

    Type: Mailing

  • 951 COURT AVE

    MEMPHIS, TN 381032813

    Phone: (901) 577-1800

    Fax: (901) 527-1320

    Type: Location

  • 238 SUMMAR DR

    JACKSON, TN 383013906

    Phone: (731) 541-8200

    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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: ABBVIE INC. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$26
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: 2025-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20200625001749INurse PractitionerTNTBD
I20250613002345INurse PractitionerVATBD
I20250710001858INurse PractitionerWVTBD
I20250730004490INurse PractitionerNMTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38305)

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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: 0446668826View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerVA
Nurse PractitionerOH
Nurse PractitionerAL
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELINDA DUNAVANT?
MELINDA DUNAVANT — NPI 1063041689 — is the standard way to identify this listing.
Does the file indicate MELINDA DUNAVANT is practicing under active NPI?
Directory data currently reports MELINDA DUNAVANT as active.
What taxonomy line describes MELINDA DUNAVANT?
For research purposes, treat MELINDA DUNAVANT as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MELINDA DUNAVANT based?
MELINDA DUNAVANT is tied to Jackson, Tennessee in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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