Active NPI
Melissa Jordan Stallings, PA-C
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1689214736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6419 Carolina Beach Rd
Wilmington, NC 28412-3671 - Phone
- (910) 790-3660
- Fax
- (910) 790-9499
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1306015102
NC
-
- Podiatrist
- Monroe, NC
- NPI 1902596448
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Brody School of Medicine at East Carolina University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care of North Carolina PC
Practice addresses (Care Compare)
4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone (704) 395-0060
9200 Harris Corners Pkwy
Suite K
Charlotte, NC 28269-3782
Phone (704) 342-9011
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200402003272 | NC | Practitioner - Physician Assistant | 6204265838 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RDMG Associates, PA | Physician Assistant | Current | Accepting new patients |
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| Premier Foot & Ankle Specialists | Past | Accepting new patients |
Locations
4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057
Interoperability endpoints
- mstallings499654@carolinashealthcaresystem.direct-ci.com
- melissastallings@mfmpc.allscriptsdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6419 Carolina Beach Rd
Wilmington, NC 28412-3671
Mailing address
PO Box 49092
Charlotte, NC 28277-0073
Phone (704) 375-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2020.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1689214736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49092",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770073",
"telephone_number": "704-375-0404",
"fax_number": "704-375-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6419 CAROLINA BEACH RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123671",
"telephone_number": "910-790-3660",
"fax_number": "910-790-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLINGS",
"first_name": "MELISSA",
"middle_name": "JORDAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.