Melanie Sims, NP
NPI 1093956351ActiveIndividual· Nurse Practitioner, Acute Care· Carrollton, GA
Nurse Practitioner, Acute Care (NP) with West Georgia Gastroenterology Associates,pc, practicing in Carrollton, Georgia. Their prescriptions cost Medicare Part D more than their services did: $123,262 for 500 claims, against $39,446 paid for services in 2024. Phathom Pharmaceuticals, Inc. was the largest of 15 companies reporting payments in 2025, $1,215 in all, mostly food and beverage. Lists Higgins General Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1093956351 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Mar 17, 2009 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | RN176715 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 593 across 16 procedure codes |
| Paid by Medicare | $39,446 |
Part D prescriptions in 2024
| Prescriptions (claims) | 500 · 731 30-day fills |
|---|---|
| Patients | 203 |
| Total drug cost | $123,262 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- West Georgia Gastroenterology Associates,pcWedowee, AL · 12 clinicians
Hospital affiliations
- Higgins General HospitalBremen, GA
- Tanner Medical Center - CarrolltonCarrollton, GA
- Tanner Medical Center Villa RicaVilla Rica, GA
Industry payments (Open Payments)
- 2025$1,215 · 48 payments from 15 companies
- 2024$1,216 · 67 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $191.07 | 5 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $187.52 | 10 |
| Pfizer Inc. | $150.79 | 8 |
| Aimmune Therapeutics, Inc. | $148.75 | 2 |
| Genzyme Corporation | $117.49 | 4 |
What the 2025 payments were for
- Food and Beverage$1,215 · 48 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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