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

Melanie Ann Lieblang, FNP

Individual provider Family Nurse Practitioner · NPI 1508392952

Melanie Ann Lieblang, FNP is a Nurse Practitioner in Wake Forest, North Carolina. Qualified in 2016, 10 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, District of Columbia, Florida and Georgia and 7 more.

Years since qualifying
10
Licensed in
CT, DC, FL, GA, MD, NC
In the registry since
2017
Specialties on file
11
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4205 Field Oak Dr
Wake Forest, NC 27587-8202
Phone: (631) 742-2306
Fax: (919) 336-4363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6450 Us Highway 1, Rockledge, FL 32955-5747 — (321) 434-1512

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5009480 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340431 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN299842 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 12151 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1066221 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11004556 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN1057625 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61579851 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 30597 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AC003072 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024178432 (VA)

Record details

NPI number1508392952
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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