Melanie Sims, NP
NPI 1093956351 · Acute Care Nurse Practitioner · Carrollton, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Sims, NP is a Acute Care Nurse Practitioner provider in Carrollton, GA (NPI 1093956351).
Provider details
- NPI number
- 1093956351
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN176715 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
549 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 112 | $96 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 102 | $139 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 90 | $72 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 70 | $13 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 68 | $63 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 61 | 25 |
| Omeprazole | 55 | 23 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 47 | 47 |
| Sucralfate | 36 | 16 |
| Famotidine | 29 | 11 |
| Dicyclomine Hcl | 22 | 15 |
| Colestipol Hcl | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,216 across 67 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 204 Allen Memorial Dr Ste 302bBremen, GA 30110-2047Phone: (770) 214-2800Fax: (770) 214-2803
- 690 Dallas Hwy Ste 103Villa Rica, GA 30180-1265Phone: (770) 214-2800Fax: (770) 214-2803
Registry dates
- Enumerated
- 2009-03-17
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Frequently asked questions
- What is Melanie Sims's NPI number?
- Melanie Sims's National Provider Identifier (NPI) is 1093956351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Sims's specialty?
- Melanie Sims is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melanie Sims located?
- Melanie Sims's practice location on file with NPPES is 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454.
- What is Melanie Sims's phone number?
- The practice phone number listed in the NPPES registry for Melanie Sims is (770) 214-2800.
- Does Melanie Sims accept Medicare?
- Melanie Sims is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Sims's NPI active?
- Yes — Melanie Sims's NPI (1093956351) is active in the NPPES registry as of the last update on 2024-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.