Individual provider Active NPI

Melissa Joy Shelton

  • Pain Medicine Physician
  • High Point, NC
National Provider Identifier
1114188323
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
0010-09540 Issued in NC
Practice address
1580 Skeet Club Rd Ste 112
High Point, NC 27265-9530
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 0010-09540 NC Primary
Physician Assistant 363A00000X 0010-09540 NC

Addresses

Primary practice location

1580 Skeet Club Rd Ste 112
High Point, NC 27265-9530

Mailing address

4907 Shady Pine Dr
Greensboro, NC 27455-1515

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000332 NC Practitioner - Physician Assistant 4880016492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-09540NCMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center Pain Medicine CurrentSince Oct 7, 2021 Accepting new patients
Bethany Medical Center, PA CurrentSince Oct 7, 2021 Accepting new patients
Bethany Medical Center Past Accepting new patients
Cityblock Medical Practice, P.a. Past Accepting new patients
Med First Immediate Care & Family Practice, PA PastSince Jun 1, 2020 Accepting new patients

Locations

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3610 Peters Ct
High Point, NC 27265

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

507 N Lindsay St
High Point, NC 27262

1580 Skeet Club Rd
Ste 112
High Point, NC 27265

Interoperability endpoints

  • Direct secure messaging: melissa.shelton.1@27775.direct.athenahealth.com
  • Direct secure messaging: melissashelton@bethanymed.allscriptsdirect.net

Organizations & group practices 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1114188323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 SHADY PINE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SKEET CLUB RD STE 112",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659530",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "0010-09540",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.