MEDICARE: MELANIE ANN LACY CPNP-AC

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	163WP0200X	Pediatric Registered Nurse	18680	SC
2	363LP0222X	Critical Care Pediatric Nurse Practitioner	AP127143	TX
3	363L00000X	Nurse Practitioner	RN191439	GA

General Provider Information

NPI Number	:	1518382043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE ANN LACY CPNP-AC

Provider Business Mailing Address
First Line	:	993 JOHNSON FERRY RD STE F210
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1688
Country	:	US
Telephone Number	:	404-256-1727
Fax Number	:	404-256-0192

Provider Business Practice Location Address
First Line	:	993 JOHNSON FERRY RD STE F210
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1688
Country	:	US
Telephone Number	:	404-256-1727
Fax Number	:	404-256-0192

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

Provider Enumeration Date	:	02/20/2014
Last Update Date	:	07/09/2021

Similar Medicare Providers

1558657080 — DR. MICHAEL CHRISTOPHER KRAFT M.D.
Practice Location Address:

993 JOHNSON FERRY RD STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax: 404-242-3591

1841739307 — MRS. KAITLYN MARIE FREEMAN PA-C
Practice Location Address:

993 JOHNSON FY RD NE STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax: 404-252-3591

1871027870 — CASSANDRA BARNES
Practice Location Address:

993 JOHNSON FERRY RD STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax: 404-252-3591

1811560865 — HAVA TOVA SINGER PA-C
Practice Location Address:

993 JOHNSON FY RD NE STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax:

1932875598 — MITCHELL PEARCE
Practice Location Address:

993 JOHNSON FY RD NE STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax: 404-256-0192

1245971019 — REBECCA COX MD
Practice Location Address:

993 JOHNSON FY RD NE STE F210
ATLANTA, GA
30342-1688

Practice Phone: 404-256-1727
Practice Fax:

Directions to “ MELANIE ANN LACY CPNP-AC” 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.