Melody N Gurganus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014266 Issued in NC

Practice address

167 Fairfield Dr
Troutman, NC 28166-0049

Phone

(704) 439-6314

NPI assigned

Jan 8, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vine Family Services & Consulting PLLC

  • Community/Behavioral Health Agency
  • Troutman, NC
  • NPI 1992565568
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104466085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 FAIRFIELD DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660049",
            "telephone_number": "704-439-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 FAIRFIELD DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660049",
            "telephone_number": "704-439-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGANUS",
        "first_name": "MELODY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finley Chiropractic Center
• Catherine Willeford Forquer, MSSW, LCSW
• Yvonne Brown Foster, CCC SLP
• Barbara Franklin
• Tammi Sue Gilbert-Chaffin, COTA/L
• Alecia Kay Hall
• Chandyn Hogan, CCC-SLP
• Iredell Physician Network LLC
• Keira Jones, PHARMD
• Kerr Drug Inc

• Clinical Social Worker in Troutman, NC
• Providers in Troutman, NC by specialty
• Clinical Social Worker in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.