Healthcare Provider Details

I. General information

NPI: 1710716261
Provider Name (Legal Business Name): MELISSA PRESSWOOD MADDUX NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA PRESSWOOD MADDUX NP-C

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8465 HOLCOMB BRIDGE RD
JOHNS CREEK GA
30022-8530
US

IV. Provider business mailing address

1600 TOWNE LAKE PKWY
WOODSTOCK GA
30189-1585
US

V. Phone/Fax

Practice location:
  • Phone: 770-641-8014
  • Fax:
Mailing address:
  • Phone: 770-356-7325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN276439
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: