Christine Marie Mellon, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2000-00896 Issued in NC

Practice address

725 Oakridge Blvd
Suite C-1
Lumberton, NC 28358-2351

Phone

(910) 738-9601

Fax

(910) 671-8261

NPI assigned

Sep 29, 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cmellon117749@direct.carilionclinic.org

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1063409613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD",
            "address_2": "SUITE C-1",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-738-9601",
            "fax_number": "910-671-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD",
            "address_2": "SUITE C-1",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-738-9601",
            "fax_number": "910-671-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2000-00896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126H2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126H2",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmellon117749@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cmellon117749@direct.carilionclinic.org",
            "address_1": "725 Oakridge Blvd",
            "address_2": "Suite C-1",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medical Imaging Center, LLC
• Medical Specialists' Clinic, PA
• Melvin Dubose Medlock Jr., MD
• Taylor Joseph Meetze, DO
• Pooja Mehta
• Michael Scott Melton, DPT
• Candace Melvin, LPCA
• Brooke Elise Merle
• Alexandra Dais Merrell, APRN
• Metrocorp Affiliates, LTD

• Obstetrics & Gynecology Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.