Melinda Emery Abercrombie, PA-C
Individual provider Active NPI Physician Assistant · Charlotte, NC
NPI 1760172647 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1760172647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-13308 (NC)
- Practice address
- 1901 Brunswick Ave Ste 200
Charlotte, NC 28207-1897 - Phone
- (704) 316-5025
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
1901 Brunswick Ave
Suite 200
Charlotte, NC 28207-1897
Phone (704) 316-5025
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230810000945 | NC | Practitioner - Physician Assistant | 1759743529 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-13308 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1901 Brunswick Ave
Ste 200
Charlotte, NC 28207
Phone (704) 316-5025
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- mabercrombie1139758@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | |||
| Physician Assistant | 363A00000X | 0010-13308 | NC | Yes |
Addresses
Primary practice location
1901 Brunswick Ave Ste 200
Charlotte, NC 28207-1897
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other providers in Charlotte, NC
- Mahmoud Abdelmageed Abdelrazek
- Diana Abdullayeva
- Hasan A Abdushahid
- Rafsanjani Ibn Abdushahid
- Matthew Clark Abel
- Christopher Abernathy
- Elizabeth Abernathy
- Emily Abernathy
- Kathryn E Abernethy
- Zoe Abernethy
All providers in Charlotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.