MEDICARE: MELISSA SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD004324	GA

General Provider Information

NPI Number	:	1497603617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SMITH

Provider Business Mailing Address
First Line	:	345 THORNDALE CT
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-6609
Country	:	US
Telephone Number	:	585-507-3582
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 THORNDALE CT
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-6609
Country	:	US
Telephone Number	:	585-507-3582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

Similar Medicare Providers

1891799219 — DR. LISA M. BERRY D.C.
Practice Location Address:

235 KINGS MILL CT
ROSWELL, GA
30075-4940

Practice Phone: 678-682-3988
Practice Fax:

1336145424 — CHC - ROSWELL NURSING & REHAB CTR, LLC
Practice Location Address:

1109 GREEN ST
ROSWELL, GA
30075-3609

Practice Phone: 770-998-1802
Practice Fax: 770-518-8144

1285629253 — DR. CEDRICK CHRISTOPHER NOEL
Practice Location Address:

10930 CRABAPPLE RD
ROSWELL, GA
30075-5812

Practice Phone: 770-587-2280
Practice Fax: 770-587-2286

1649267246 — EDWARD JOSEPH FUREY OD
Practice Location Address:

250 E CROSSVILLE RD
ROSWELL, GA
30075-3040

Practice Phone: 770-993-5592
Practice Fax: 770-993-5595

1255329934 — MS. MICHELLE LOUISE CAMARATA MHA MDT PT
Practice Location Address:

540 W CROSSVILLE RD STE 203
ROSWELL, GA
30075-7524

Practice Phone: 678-585-0175
Practice Fax:

1972584498 — JOEL E SCHANCUPP
Practice Location Address:

1030 WOODSTOCK RD , STE 3106
ROSWELL, GA
30075-8271

Practice Phone: 770-993-0880
Practice Fax: 770-993-9722

Directions to “ MELISSA SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.