MELISSA STUART DILLMON (NPI# 1790845071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790845071 |
| Entity Type | Individual |
| Full Name | MELISSA STUART DILLMON |
| Other Name | MELISSA STUART |
| Credential | MD |
| Practice Address |
255 W 5th St Sw Rome GA 30165-2817 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7062953855 |
| Practice Fax Number | 7062355875 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
054073 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 244483090F | 05 |
| Street Address |
255 W 5TH ST SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1386136539 | Jaime Elaine Pesl | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2018-06-04 |
| 1316470867 | Nina Anzie Emeline Botouli | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-04-11 |
| 1275074387 | Whitney Leigh Worthy | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-03-09 |
| 1538413513 | Joy R Mcgee | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2012-10-30 |
| 1184923492 | Harbin Clinic LLC | Pharmacy | 255 W 5th St Sw, Rome, GA 30165-2817 | 2011-03-25 |
| 1568789261 | Gregory Everett Harris | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165 | 2010-04-21 |
| 1639495369 | Harbin Clinic Hematology Oncology | Non-Pharmacy Dispensing Site | 255 W 5th St Sw, Rome, GA 30165-2817 | 2010-04-20 |
| 1669538096 | Janice Gribble Hopkins | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-29 |
| 1184789315 | Thomas Alvin Simpson Jr. | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568789261 | Gregory Everett Harris | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165 | 2010-04-21 |
| 1184789315 | Thomas Alvin Simpson Jr. | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-27 |
| 1942362702 | Gerald Lane Mccormick | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2819 | 2006-12-15 |
| 1588725188 | Dilawar Khan | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
| 1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
| 1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
| 1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
| 1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.