Individual provider Active NPI

Melissa Gayle Pfitzer, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
National Provider Identifier
1790775096
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
103744 Issued in NC
Practice address
1506 Market St
Wilmington, NC 28401-4871
Phone
(910) 254-4065
Fax
(910) 254-4067
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103744 NC Primary

Addresses

Primary practice location

1506 Market St
Wilmington, NC 28401-4871

Mailing address

4700 E Oak Island Dr
Oak Island, NC 28465-5257
Phone (910) 278-6414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Carolina Comprehensive Health Network, PA Past Accepting new patients

Locations

4654 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-0070

Interoperability endpoints

  • Direct secure messaging: mpfitzer@goshenmedical.cloudcraftdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1790775096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-6414",
            "fax_number": "910-278-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014871",
            "telephone_number": "910-254-4065",
            "fax_number": "910-254-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFITZER",
        "first_name": "MELISSA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.