Individual provider Active NPI

Karen L Melendez, M.D.

  • Psychiatry Physician
  • Statesville, NC
National Provider Identifier
1184675977
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008-01590 Issued in NC
Practice address
1703 Davie Ave
Statesville, NC 28677-3521
Phone
(704) 819-9191
Fax
(704) 872-3782
NPI assigned
May 15, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A94337 CA
Psychiatry Physician 2084P0800X 2008-01590 NC Primary

Addresses

Primary practice location

1703 Davie Ave
Statesville, NC 28677-3521

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900

Other practice location 1

1244 N Flint St
Lincolnton, NC 28092-5239
Phone (704) 440-0170

Other identifiers 1

IdentifierTypeStateIssuer
5910539MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081213000228 NC Practitioner - Psychiatry 8022170711 Reassigns benefits to 6 organizations
I20250925003527 GA Practitioner - Psychiatry 8022170711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

1337 E Garrison Blvd
Gastonia, NC 28054-5127
Phone (704) 865-3848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94337CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. Current Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 1, 2021 Accepting new patients
Caromont Medical Group Inc Psychiatry Current Accepting new patients
Animo Sano Psychiatry PLLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Sep 1, 2021 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Mar 29, 2018 Accepting new patients
Caromont Medical Group Inc Psychiatry CurrentSince Dec 18, 2023 Accepting new patients
Support Incorporated CurrentSince Dec 10, 2014 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince May 1, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Mar 29, 2018 Accepting new patients
Caromont Medical Group Inc CurrentSince Dec 18, 2023 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince May 1, 2018 Accepting new patients
Nuevo Destino Health Alliance LLC Past Accepting new patients
Kidology, Inc PastSince Oct 1, 2021 Accepting new patients

Locations

1055 Howell Mill Rd NW
Fl 8
Atlanta, GA 30318
Phone (404) 800-1998

1212 Spruce St
Ste 315
Belmont, NC 28012
Phone (704) 461-8253

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 973-4617

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone 9193917202908

6409 Fayetteville Rd
Ste 120
Durham, NC 27713
Phone (561) 319-6188

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

708 S Chestnut St
Gastonia, NC 28054
Phone (704) 854-4840

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

1703 Davie Ave
Statesville, NC 28677
Phone (704) 818-9191

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

Interoperability endpoints

  • Direct secure messaging: kmelendez363806@direct.ochin.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1184675977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773521",
            "telephone_number": "704-819-9191",
            "fax_number": "704-872-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 N Flint St",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280925239",
            "country_code": "US",
            "telephone_number": "704-440-0170",
            "fax_number": "704-440-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94337",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2008-01590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.