Individual provider Active NPI

Melina Ree Calderon, PA-C

  • Medical Physician Assistant
  • High Point, NC
National Provider Identifier
1598026254
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-08470 Issued in NC
Practice address
2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382
Phone
(336) 802-1111
Fax
(336) 803-7136
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07792 TX
Medical Physician Assistant 363AM0700X 0010-08470 NC Primary

Addresses

Primary practice location

2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382

Mailing address

2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382
Phone (336) 802-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0010-08470NCMDMedical Physician Assistant
PA07792TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Pediatrics, PC PastSince Oct 31, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcalderon@tp.trimed.direct-ci.com

Organizations & group practices 1

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1598026254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 NC HIGHWAY 68 S STE 111",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658382",
            "telephone_number": "336-802-1111",
            "fax_number": "336-803-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 NC HIGHWAY 68 S STE 111",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658382",
            "telephone_number": "336-802-1111",
            "fax_number": "336-803-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MELINA",
        "middle_name": "REE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07792",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.