Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELONIE CLEMMONS, O.D.
DeactivatedMELONIE CLEMMONS, O.D. is a Optometrist healthcare provider located in ELLIJAY, Georgia. NPI 1609099530 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · ELLIJAY, GA
This NPI has been deactivated.
The record was deactivated on May 2, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609099530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (14.060273972603 yrs)
- Last Updated
- May 25, 2021
- Deactivated
- May 2, 2021
- License
-
OPT001550 (GA)
Practice Information
- Address
-
60 OLD HIGHWAY 5 SELLIJAY, GA, 305405436Browse GA providers · Browse ZIP 30540
- Phone
- 7062762000
- Fax
- 7062762080
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ELLIJAY, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MARIA JEAN NELSEN | O.D. | 1649386608 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.