Individual provider Active NPI

Melissa Erin Griffin, DO

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1093943177
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-00328 Issued in NC
Practice address
5429 Wrightsville Ave
Wilmington, NC 28403-6513
Phone
(910) 792-1001
Fax
(910) 792-1004
NPI assigned
Jun 26, 2009
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2012-00328 NC Primary

Addresses

Primary practice location

5429 Wrightsville Ave
Wilmington, NC 28403-6513

Mailing address

5429 Wrightsville Ave
Wilmington, NC 28403-6513
Phone (910) 792-1001

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 772-9202 ext. 402

Other practice location 2

4833 Carolina Beach Rd
Wilmington, NC 28412-2371
Phone (910) 332-7900

Other practice location 3

14057 US Highway 17 N Ste 200
Hampstead, NC 28443-3793
Phone (910) 821-1197

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000756 NC Practitioner - Family Practice 0345497228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012-00328NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Family Medicine, P.a. Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Pelican Family Medicine, P.a. Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Tidal Wellness Integrative Family Medicine Family Medicine Current Accepting new patients
Pelican Family Medicine, P.a. Family Medicine Current Accepting new patients

Locations

14057 US Highway 17
Ste 200
Hampstead, NC 28443
Phone (910) 821-1418

603 E College St
Warsaw, NC 28398
Phone (910) 293-3900

5429 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 332-5074

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1093943177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036513",
            "telephone_number": "910-792-1001",
            "fax_number": "910-792-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036513",
            "telephone_number": "910-792-1001",
            "fax_number": "910-792-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-772-9202 x402",
            "fax_number": "910-772-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4833 Carolina Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122371",
            "country_code": "US",
            "telephone_number": "910-332-7900",
            "fax_number": "910-332-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14057 US Highway 17 N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433793",
            "country_code": "US",
            "telephone_number": "910-821-1197",
            "fax_number": "910-821-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-00328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.