Melissa L Clary, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-03356 Issued in NC

Practice address

1709 East Blvd
Charlotte, NC 28203-5823

Phone

(704) 333-6642

Fax

(704) 332-6642

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melissa.clary.1@14333.direct.athenahealth.com
• Direct secure messaging: melissa.clary.1@16151.direct.athenahealth.com

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.

• Lifeline Addiction Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Wheeling, WV
  • NPI 1568994259
  Medicare reassignment
• Metro Medical House Calls,PC

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1154690931
  NPD (past)
• Community Health Systems, Inc.

  dba Access Health

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1588738538
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1194807651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAWTHORN LN",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329269",
            "telephone_number": "304-763-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035823",
            "telephone_number": "704-333-6642",
            "fax_number": "704-332-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01237",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001913138",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007173",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Clarke, MS, RD, LDN
• Christina Spinaris Clarkson, PA
• Devin Clarkson, LCSW
• Claron Transportation LLC
• Jamie Lorin Clary, M.A., LPA
• Martha Ann Claus, M.ED.
• Wendy Infante Clavijo, MS, OTR/L
• John Grattan Clavin, RPH
• Nicholas Wayne Clavin, MD
• Estrelita Nancy Clavio-Ziechmann, MD

• Medical Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.