Gwenesta Barnum Melton, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

33712 Issued in NC

Practice address

2125 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3753

Phone

(910) 323-1322

Fax

(910) 323-1510

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aa All American Family Healthcare, PLLC

  • Clinic/Center
  • Fayetteville, NC
  • NPI 1255661021
  NPD (past)
• Lafayette Clinic, PA

  • Allergy & Immunology Physician
  • Fayetteville, NC
  • NPI 1356455059

  Rheumatology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1780697326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43905",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283093905",
            "telephone_number": "910-323-1322",
            "fax_number": "910-323-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043753",
            "telephone_number": "910-323-1322",
            "fax_number": "910-323-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "GWENESTA",
        "middle_name": "BARNUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "33712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1408642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660002162",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7958592",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anya Stephanie Melesciuc, MS, CCC-SLP
• Lidya Admassu Melesse, CRNA
• Ofelia Marie Melley, M.D.
• Melody Massage, LLC (Melody Massage)
• Melrose Center
• Kenneth Melton, M.D.
• Krista S Melton, MSW,LCSW-A
• Morton Meltzer, M.D.
• Charlene Yvette Melvin-Shaw, MS, LCMHC-A, NCC
• Bettina Rochelle Melvin

• Rheumatology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.