NPIMap

Individual provider Active NPI

Melinda Donelle Wonsick, M.D.

  • Family Medicine Physician
  • Jefferson, NC
National Provider Identifier
1619907334
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200400621 Issued in NC
Practice address
200 Hospital Ave
Suite 3
Jefferson, NC 28640-9244
Phone
(336) 846-7433
Fax
(336) 846-7878
NPI assigned
Jul 5, 2006
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400621 NC Primary

Addresses

Primary practice location

200 Hospital Ave
Suite 3
Jefferson, NC 28640-9244

Mailing address

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7433

Other identifiers 2

IdentifierTypeStateIssuer
BCBSOtherNC0173A
891369HMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825001598 NC Practitioner - Family Practice 9537062443 Reassigns benefits to 3 organizations
Practice locations: Jefferson, NC

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Ashe Financial Services LLCGroup PAC ID 8729377692, 6 clinicians
Complexcare Medical Group Mid-Atlantic H PLLCGroup PAC ID 6709382831, 24 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Suite 3
Jefferson, NC 28640-9244
Phone (336) 846-7433

411 S Lasalle St
Durham, NC 27705-3701
Phone (919) 383-5521

5100 Mackay Rd
Jamestown, NC 27282-9761
Phone (248) 660-1220

540 Waugh St
Jefferson, NC 28640-9034
Phone (336) 246-5581

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.52
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400621NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Dec 29, 2025 Accepting new patients
Ashe Financial Services, LLC Family Medicine CurrentSince Mar 6, 2016 Accepting new patients
Ashe Financial Services, LLC CurrentSince Mar 6, 2016 Accepting new patients
Theoria Medical CurrentSince Aug 15, 2024 Accepting new patients
Theoria Medical Family Medicine Past Accepting new patients
Margate Health and Rehab Center LLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

5100 Mackay Rd
Jamestown, NC 27282
Phone (336) 855-5596

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

200 Hospital Ave
Ste 6
Jefferson, NC 28640
Phone (336) 246-7433

540 Waugh St
Jefferson, NC 28640
Phone (336) 246-5581

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

Interoperability endpoints

  • Direct secure messaging: melinda.wonsick.1@14562.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medi Home Health and HospiceBoone, NC, CCN 341539 Hospice Contracted Managing Employee Mar 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1619907334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 3",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONSICK",
        "first_name": "MELINDA",
        "middle_name": "DONELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0173A",
            "identifier": "BCBS",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891369H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.