Individual provider Active NPI

Melody Ann Clary, FNP-C

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1699586305
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08240147 Issued in NC
Practice address
1010 E Dixon Blvd # B
Shelby, NC 28152-6838
Phone
(980) 487-2900
Fax
(980) 487-2901
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08240147 NC Primary

Addresses

Primary practice location

1010 E Dixon Blvd # B
Shelby, NC 28152-6838

Mailing address

1010 E Dixon Blvd # B
Shelby, NC 28152-6838
Phone (980) 487-2900

Other practice location 1

208 Three Brothers Ave
Shelby, NC 28152-7676
Phone (704) 300-9108

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000141 NC Practitioner - Nurse Practitioner 2961925052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

Hospital & facility affiliations

  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08240147NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Jan 18, 2025 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

419 Earl Rd
Shelby, NC 28150
Phone (704) 481-0555

Organizations & group practices 2

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.

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1699586305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E DIXON BLVD # B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526838",
            "telephone_number": "980-487-2900",
            "fax_number": "980-487-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E DIXON BLVD # B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526838",
            "telephone_number": "980-487-2900",
            "fax_number": "980-487-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Three Brothers Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281527676",
            "country_code": "US",
            "telephone_number": "704-300-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F08240147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.