NPIMap

Individual provider Active NPI

Melissa Ann Hurst, PA-C

  • Physician Assistant
  • Lenoir, NC
National Provider Identifier
1699082974
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06905 Issued in NC
Practice address
810 Harper Ave NW
Lenoir, NC 28645-5083
Phone
(828) 754-8565
NPI assigned
Sep 8, 2010
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06905 NC Primary
Family Medicine Physician 207Q00000X 508 WV

Addresses

Primary practice location

810 Harper Ave NW
Lenoir, NC 28645-5083

Mailing address

810 Harper Ave NW
Lenoir, NC 28645-5083

Other practice location 1

365 Courthouse Rd
Princeton, WV 24740-2431
Phone (304) 425-0228

Other names 1

  • Melissa Ann Hurst Former name

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
I20170725001258 NC Practitioner - Physician Assistant 2365617875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

3900 Terrell Park Dr
Sherrills Ford, NC 28673-9510

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007267GAMDOccupational Therapist
0010-06905NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Mar 9, 2020 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Mar 9, 2020 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine CurrentSince Mar 9, 2020 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Mar 9, 2020 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

130 1st St W
Conover, NC 28613
Phone (828) 466-3000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: melissa.hurst@cvmg.eclinicaldirectplus.com

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 1

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1699082974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455083",
            "telephone_number": "828-754-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402431",
            "country_code": "US",
            "telephone_number": "304-425-0228",
            "fax_number": "304-487-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06905",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HURST",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.