Individual provider Active NPI

Melissa Dawn Ayers, ANP

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1912437302
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009545 Issued in NC
Practice address
14121 Parke Long CT
Chantilly, VA 20151-1647
Phone
(855) 247-1940
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5009545 NC Primary

Addresses

Primary practice location

14121 Parke Long CT
Chantilly, VA 20151-1647

Mailing address

209 Revere Dr Apt 85
Greensboro, NC 27407-3419
Phone (304) 588-5159

Other practice location 1

103 Cotton Creek Rd
Star, NC 27356-7954
Phone (910) 428-9020

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
I20180328002691 NC Practitioner - Nurse Practitioner 6406031376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5009545NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Internal Medicine PLLC CurrentSince Feb 14, 2018 Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912437302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 REVERE DR APT 85",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073419",
            "telephone_number": "304-588-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "855-247-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Cotton Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Star",
            "state": "NC",
            "postal_code": "273567954",
            "country_code": "US",
            "telephone_number": "910-428-9020",
            "fax_number": "910-428-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.