Melanie Dolores Gray Miller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2024-00954 Issued in NC

Practice address

203 Earnhart Dr Ste a
Edenton, NC 27932-8401

Phone

(252) 482-7407

NPI assigned

Apr 24, 2021

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Moye Medical Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, NC
  • NPI 1508041666
  NPD (past)

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1104408657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 EARNHART DR STE A",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328401",
            "telephone_number": "252-482-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EARNHART DR STE A",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328401",
            "telephone_number": "252-482-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY MILLER",
        "first_name": "MELANIE",
        "middle_name": "DOLORES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-00954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Gavigan, M.D.
• Tiffany Gilliam, DACM, BCND, M.AC, YS
• Travis Maurice Gilliard, R.PH.
• Lauren Goodwin, PTA
• Hannah Rachel Graham, PA-C
• Markie Elizabeth Gregory, SLP
• Joseph Ray Haskett Jr., MD
• Evan Grattan Hatch, MD
• Edith Spruill Hauser, RPH
• Hazels Touch Laboratory Services L.L.C

• Pediatrics Physician in Edenton, NC
• Providers in Edenton, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.