Individual provider Active NPI

Melanie Diane Tilley, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1205391711
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TILL-HCY5ZI Issued in NC
Practice address
2607 Medical Office PL Ste a
Goldsboro, NC 27534-9437
Phone
(919) 739-9060
Fax
(919) 739-9099
NPI assigned
Feb 8, 2019
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TILL-HCY5ZI NC Primary

Addresses

Primary practice location

2607 Medical Office PL Ste a
Goldsboro, NC 27534-9437

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

2609 Medical Office Pl
Goldsboro, NC 27534-9428
Phone (919) 734-1779

Other identifiers 1

IdentifierTypeStateIssuer
1205391711OtherNCNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address melanie.tilley.p1@direct.ema.nextgenshare.com
Direct Messaging Address mtilley446427@direct.UNC.nchie.net Direct

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
I20190429001752 NC Practitioner - Nurse Practitioner 6507108271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2607 Medical Office PL
Goldsboro, NC 27534-9437

2609 Medical Office PL
Goldsboro, NC 27534-9428
Phone (919) 734-1779

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TILL-HCY5ZINCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince May 3, 2023 Accepting new patients
Unc Physicians Network, LLC CurrentSince May 3, 2023 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Gibbons Family Medicine PastSince Mar 11, 2025 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2607 Medical Office Pl
Ste A
Goldsboro, NC 27534
Phone (919) 739-9060

2609 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 734-1779

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: mtilley446427@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1205391711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MEDICAL OFFICE PL STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349437",
            "telephone_number": "919-739-9060",
            "fax_number": "919-739-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Medical Office Pl",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349428",
            "country_code": "US",
            "telephone_number": "919-734-1779",
            "fax_number": "919-734-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "MELANIE",
        "middle_name": "DIANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "TILL-HCY5ZI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205391711",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie.tilley.p1@direct.ema.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2609 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtilley446427@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2607 Medical Office Pl Ste A",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.