Individual provider Active NPI

Melissa Ann Thomas, RD, LDN

  • Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1043548647
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003378 Issued in NC
Practice address
1400 Westgate Center Dr Ste 110
Winston Salem, NC 27103-3104
Phone
(336) 277-1660
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003378 NC Primary

Addresses

Primary practice location

1400 Westgate Center Dr Ste 110
Winston Salem, NC 27103-3104

Mailing address

P.O. Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Other practice location 1

5175 Old Clemmons School Rd
Clemmons, NC 27012-9087
Phone (336) 277-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mthomas191221@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001662 NC Practitioner - Registered Dietitian Or Nutrition Professional 3476864471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1710 Kernersville Medical Pkwy
Suite 210
Kernersville, NC 27284-7157
Phone (336) 564-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L003378NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 8, 2014 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 8, 2014 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1918 Randolph Rd
Ste 220
Charlotte, NC 28207
Phone (704) 316-1125

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

5175 Old Clemmons School Rd
Clemmons, NC 27012
Phone (336) 718-3960

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

1351 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-7777

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1350 Whitaker Ridge Dr
Winston Salem, NC 27106
Phone (336) 718-8000

114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1043548647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WESTGATE CENTER DR STE 110",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033104",
            "telephone_number": "336-277-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5175 Old Clemmons School Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129087",
            "country_code": "US",
            "telephone_number": "336-277-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthomas191221@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5175 Old Clemmons School Rd",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270129087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.