| Melanie J Outlaw, NP-C | |
| 903 Ward St W, Suite A, Douglas, GA 31533-3517 | |
| (912) 260-1191 | |
| (912) 260-1193 | 
| Full Name | Melanie J Outlaw | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 903 Ward St W, Douglas, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952701724 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN112116 (Georgia) | Primary | 
| Entity Name | Sgmp Southland, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 | 
| Entity Name | Coffee County Hospitalist Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811435464 PECOS PAC ID: 1153696117 Enrollment ID: O20171002002498 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melanie J Outlaw, NP-C 1111 Glynco Pkwy, Bldg 1 Ste10, Brunswick, GA 31525-7921 Ph: (912) 534-6485 | Melanie J Outlaw, NP-C 903 Ward St W, Suite A, Douglas, GA 31533-3517 Ph: (912) 260-1191 | 
| Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015 | |
| Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117 | |
| Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 | |
| Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117 | |
| Kera Ashlyn Malphus,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210 | |
| Patricia Arasely Jaimes,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 | |
| Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214 |