Individual provider Active NPI

Savannah Melvin, PA-C

  • Physician Assistant
  • Raeford, NC
National Provider Identifier
1265192561
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11907 Issued in NC
Practice address
300 Medical Pavilion Dr Ste 170
Raeford, NC 28376-0019
Phone
(910) 615-6949
Fax
(910) 615-9761
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11907 NC Primary

Addresses

Primary practice location

300 Medical Pavilion Dr Ste 170
Raeford, NC 28376-0019

Mailing address

11708 NC Highway 210 S
Roseboro, NC 28382-8975

Other practice location 1

3308 Melrose Rd
Fayetteville, NC 28304-1604
Phone (910) 615-6949

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Other practice location 3

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Other practice location 4

1565 Purdue Dr Ste 101A
Fayetteville, NC 28303-5537
Phone (910) 615-6949

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
I20250206002841 NC Practitioner - Physician Assistant 7719417690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Raeford, NC 28376-0019

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Hospital & facility affiliations

  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Oct 2, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1565 Purdue Dr
Ste 101A
Fayetteville, NC 28303
Phone (910) 484-8492

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3308 Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3114

300 Medical Pavilion Dr
Ste 170
Raeford, NC 28376
Phone (910) 904-8200

Interoperability endpoints

  • Direct secure messaging: smelvin85697@capefearvalley.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1265192561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 NC HIGHWAY 210 S",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283828975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PAVILION DR STE 170",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760019",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041604",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Purdue Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035537",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "SAVANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.