Melissa Ann Clark Herrington, PA- C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102525 Issued in NC

Practice address

7400 Carmel Executive Park Dr Ste 105
Charlotte, NC 28226-8518

Phone

(980) 247-1543

NPI assigned

Mar 17, 2006

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  Medicare reassignment
• Mt Holly Family Practice Inc

  • Family Medicine Physician
  • Mount Holly, NC
  • NPI 1740240522
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1245209543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268518",
            "telephone_number": "980-247-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268518",
            "telephone_number": "980-247-1543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 4th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042622",
            "country_code": "US",
            "telephone_number": "866-434-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "MELISSA",
        "middle_name": "ANN CLARK",
        "name_prefix": "Mrs.",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245209543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean Herring, DPT
• Jessica Monique Herring
• Richard Charles Herring, MD
• Tocarro Arielle Herring, LPCA
• Tyazia Drekaarah Herring
• Tammy Renee Herriott
• Maria Isabel Herrle, MS-SLP
• Erin Herrmann, PA
• Herron and Smith Associates, PLLC
• Brian Herron, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.