Jaclyn Melanie Dovico, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2019-01681 Issued in NC

Practice address

3818 N Elm St Ste C
Greensboro, NC 27455-2778

Phone

(336) 510-8553

Fax

(336) 916-1784

NPI assigned

Apr 20, 2016

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205280864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 N ELM ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552778",
            "telephone_number": "336-510-8553",
            "fax_number": "336-916-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 N ELM ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552778",
            "telephone_number": "336-510-8553",
            "fax_number": "336-916-1784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 Yanceyville St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274054932",
            "country_code": "US",
            "telephone_number": "336-303-1723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVICO",
        "first_name": "JACLYN",
        "middle_name": "MELANIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2019-01681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dove Medical Supply Retail LLC
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• Krystle Horne Dove, DNP, APRN, AGPCNP-BC
• Tasha Anita Dove, NP
• Kevin Glenn Dover, MD
• Deborah A. Dowd, MSW, LCSW, BCD
• Benita Denise Dowdell, LCSW, LISW-CP, LMSW
• Jamie Beth Downing, RN, BSN, CPN, AE-C
• Julie Devaughn Downing, FNP-C
• Jonathan Allen Downs, PHARMD

• Pediatrics Physician in Greensboro, NC
• Providers in Greensboro, 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 13, 2026; 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.