Active NPI
Melissa Robin Clepper-Faith, M.D.
- Pediatric Adolescent Medicine Physician
- Hillsborough, NC
National Provider Identifier
1033180617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 9400754
- Practice address
- 1000 Corporate Drive Suite 401
Hillsborough Pediatric & Adolescent Medicine PLLC
Hillsborough, NC 27278 - Phone
- (919) 245-3344
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 9400754 | NC | Primary |
Addresses
Primary practice location
1000 Corporate Drive Suite 401
Hillsborough Pediatric & Adolescent Medicine PLLC
Hillsborough, NC 27278
Mailing address
1000 Corporate Drive Suite 401
Hillsborough Pediatric & Adolescent Medicine PLLC
Hillsborough, NC 27278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891314N | Medicaid | NC | |
| 1314N | Other | NC | BLUECROSSBLUESHIELD INS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400754 | NC | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsborough Pediatric and Adolescent Medicine PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Hillsborough, NC
- NPI 1821224197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1033180617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE DRIVE SUITE 401",
"address_2": "HILLSBOROUGH PEDIATRIC & ADOLESCENT MEDICINE PLLC",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "27278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE DRIVE SUITE 401",
"address_2": "HILLSBOROUGH PEDIATRIC & ADOLESCENT MEDICINE PLLC",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "27278",
"telephone_number": "919-245-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEPPER-FAITH",
"first_name": "MELISSA",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NC",
"license": "9400754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891314N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD INS #",
"identifier": "1314N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.