Melissa Corral Domenech, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102376 Issued in NC

Practice address

741 N Avalon Rd Ste B
Winston Salem, NC 27104-1069

Phone

(336) 660-6015

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lexington Family Physicians PA

  • Family Medicine Physician
  • Lexington, NC
  • NPI 1467449728
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1023000213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N AVALON RD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041069",
            "telephone_number": "336-660-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N AVALON RD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041069",
            "telephone_number": "336-660-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "MELISSA",
        "middle_name": "CORRAL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Doherty, MD
• Timothy Michael Doherty, LCSW
• Emily Lauren Dohoney, RD, LDN
• Matthew Dollyhite, BOCO
• Allison Dombroski, MD
• Brittany Ann Dominguez
• Daniel Pooley Dominguez, LCMHCA, NCC
• Abbey Pfister Donahue, MD
• Nicole Donald
• Rebecca Rigel Donald, M.D

• Medical Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.