Melissa Mcphail, FNP-BC
NPI 1295054245 · Family Nurse Practitioner · Macon, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Mcphail, FNP-BC is a Family Nurse Practitioner provider in Macon, GA (NPI 1295054245).
Provider details
- NPI number
- 1295054245
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN135666 (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 tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
165 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 144 | $77 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 21 | $107 |
Typical Medicare-allowed amounts for these services range $77–$107 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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 |
|---|---|---|
| Methylprednisolone | 172 | 169 |
| Azithromycin | 96 | 95 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 49 | 49 |
| Diclofenac Sodium | 49 | 49 |
| Fluconazole | 32 | 31 |
| Cyclobenzaprine Hcl | 30 | 30 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 24 | 24 |
Practice location
Mailing address
Additional practice locations (1)
- Po Box 371Wrightsville, GA 31096-0371Phone: (478) 290-1374Fax: (478) 864-1288
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Melissa Mcphail's NPI number?
- Melissa Mcphail's National Provider Identifier (NPI) is 1295054245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Mcphail's specialty?
- Melissa Mcphail is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Mcphail located?
- Melissa Mcphail's practice location on file with NPPES is 575 1st St, Macon, GA 31201-2825.
- What is Melissa Mcphail's phone number?
- The practice phone number listed in the NPPES registry for Melissa Mcphail is (478) 743-9762.
- Does Melissa Mcphail accept Medicare?
- Melissa Mcphail is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Mcphail's NPI active?
- Yes — Melissa Mcphail's NPI (1295054245) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.