Melissa Marie Kovach, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102633 Issued in NC

Practice address

203 Cox Blvd
Goldsboro, NC 27534-9479

Phone

(919) 508-0000

Fax

(919) 587-9086

NPI assigned

Jun 4, 2006

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

Electronic endpoints 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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Medical Oncology CenterGroup PAC ID 8325017817, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkovach@cancersmoc.direct.varian.com
• Direct secure messaging: mkovach455230@direct.unc.nchie.net

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.

• Southeastern Medical Oncology Center

  • Hematology & Oncology Physician
  • Goldsboro, NC
  • NPI 1306828678
  Medicare reassignment Care Compare group
• Eastern Medical Associates, PA

  • General Practice Physician
  • Goldsboro, NC
  • NPI 1194762807
  NPD (past)
• Eastern Medical Associates, PA

  • Family Medicine Physician
  • Pikeville, NC
  • NPI 1922045673
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386682847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 US HIGHWAY 117 N",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639445",
            "telephone_number": "919-242-5271",
            "fax_number": "919-242-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-508-0000",
            "fax_number": "919-587-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkovach@cancersmoc.direct.varian.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "203 Cox Blvd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Koody Healthcare Services
• Sara Brittney Kornegay Thorne, DMD
• Candace Smith Kornegay
• Hervy Basil Kornegay Jr., M.D.
• Stephen Lewis Kornegay, CRNA
• Allison Vansant Kowalewski
• Andrew James Kraft, MD
• Kimberly Starling Krentz, RPH
• Hiremagalur N Krishnaprasad, M.D.
• Muthaiya Pillai Krishnaraj, M.D.

• Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, 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 Mar 31, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.