OrganizationActive
Melissa Ann Carroll
NPI 1477923704 · Medical-Surgical Clinical Nurse Specialist · Moreland, GA
Provider details
- NPI number
- 1477923704
- Entity type
- Organization
- Primary specialty
- Medical-Surgical Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Melissa Carroll, Rnfa(770) 317-0814
- License
- 113659 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
190 Bear Creek Rd
Moreland, GA 30259-2813
Phone: (770) 317-0814
Street-level locationGet directions
Mailing address
190 Bear Creek Rd
Moreland, GA 30259-2813
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.