Individual provider Active NPI

Melissa Jordan Stallings, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1689214736
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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.

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 19 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200402003272 NC Practitioner - Physician Assistant 6204265838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RDMG Associates, PA Physician Assistant Current Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Jan 3, 2024 Accepting new patients
Premier Foot & Ankle Specialists Past Accepting new patients

Locations

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

Interoperability endpoints

  • Direct secure messaging: mstallings499654@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: melissastallings@mfmpc.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.