Individual provider Active NPI

Carolyn McLaughlin Melkus, PA

  • Physician Assistant
  • Monterey, CA
National Provider Identifier
1932456019
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61150 Issued in CA
Practice address
501 Lighthouse Ave
Monterey, CA 93940-1439
Phone
(831) 649-0770
NPI assigned
Aug 8, 2012
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61150 CA Primary

Addresses

Primary practice location

501 Lighthouse Ave
Monterey, CA 93940-1439

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885

Other practice location 1

1513 Fremont Blvd # E1
Seaside, CA 93955-4319
Phone (831) 899-1910

Other names 1

  • Miss Carolyn Lee McLaughlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220830004141 CA Practitioner - Physician Assistant 8729304381 Reassigns benefits to 1 organization
I20241105001458 VA Practitioner - Physician Assistant 8729304381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians
Doctors on Duty Medical Group, IncGroup PAC ID 2466366703, 64 clinicians

Practice addresses (Care Compare)

1326 E Little Creek Rd
Norfolk, VA 23518-3952
Phone (757) 583-6338

3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

501 Lighthouse Ave
Monterey, CA 93940-1439
Phone (831) 649-0770

558 Abbott St
Suite a
Salinas, CA 93901-4326
Phone (831) 755-7880

5659 Pkwy Dr
Gloucester, VA 23061-3792
Phone (804) 210-1005

6497 Centerville Rd
Suite 300 301
Williamsburg, VA 23188-2047
Phone (757) 702-8107

747 J Clyde Morris Blvd
Newport News, VA 23601-1538
Phone (757) 736-3680

Merit-based Incentive Payment System (MIPS)

Final score
85.47 of 100Reported as group
Quality
67.19
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61150CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Primary Care Partners, LLC Current Accepting new patients
Velocity Urgent Care, LLC CurrentSince Aug 1, 2024 Accepting new patients
Seaside Doctors on Duty Past Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Monterey Doctors on Duty PastSince Aug 28, 2022 Accepting new patients
Integrity Urgent Care, P.C. Past Accepting new patients

Locations

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Interoperability endpoints

  • Direct secure messaging: cmelkus17604@direct.svmh.com
  • Direct secure messaging: cmelkus996265@direct.sentara.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1932456019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401439",
            "telephone_number": "831-649-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 Fremont Blvd # E1",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "CA",
            "postal_code": "939554319",
            "country_code": "US",
            "telephone_number": "831-899-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELKUS",
        "first_name": "CAROLYN",
        "middle_name": "MCLAUGHLIN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MCLAUGHLIN",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.