Individual provider Active NPI

Melanie Lynn Tew, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1356394704
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2004-00607 Issued in NC
Practice address
1520 Sunday Dr
Suite 320
Raleigh, NC 27607
Phone
(919) 798-5727
Fax
(919) 827-1269
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2004-00607 NC Primary

Addresses

Primary practice location

1520 Sunday Dr
Suite 320
Raleigh, NC 27607

Mailing address

1520 Sunday Dr Ste 320
Raleigh, NC 27607-5254
Phone (919) 798-5727

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117001007 NC Practitioner - Psychiatry 9133148257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peace PsychiatryGroup PAC ID 0345529616, 5 clinicians

Practice addresses (Care Compare)

1520 Sunday Dr
Suite 320
Raleigh, NC 27607-5254
Phone (919) 798-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004-00607NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peace Psychiatry Psychiatry CurrentSince Mar 28, 2016 Accepting new patients
Psychiatric Associates of NC, PA Psychiatry PastSince Jan 1, 1994 Accepting new patients

Locations

1520 Sunday Dr
Ste 320
Raleigh, NC 27607
Phone (919) 798-5727

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1356394704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-798-5727",
            "fax_number": "919-827-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR",
            "address_2": "SUITE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-798-5727",
            "fax_number": "919-827-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEW",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2004-00607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.