Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larissa Aleksandrovna Melnik, PA

Individual provider Physician Assistant · NPI 1780107474

Larissa Aleksandrovna Melnik, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2017, 9 years ago. Practices with Cleaver Medical Group Dermatology Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804
Phone: (770) 800-3455
Fax: (770) 450-8024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008409 (GA)

Record details

NPI number1780107474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cleaver Medical Group Dermatology Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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