Individual provider Active NPI

Melissa Stout Davies, DO

  • Obstetrics & Gynecology Physician
  • Kernersville, NC
National Provider Identifier
1932636016
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2021-01634 Issued in NC
Practice address
1730 Kernersville Medical Pkwy Ste 104
Kernersville, NC 27284-7198
Phone
(336) 765-5470
Fax
(336) 499-5428
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2021-01634 NC Primary

Addresses

Primary practice location

1730 Kernersville Medical Pkwy Ste 104
Kernersville, NC 27284-7198

Mailing address

301 E Wendover Ave Ste 300
Greensboro, NC 27401-1231
Phone (336) 268-3380

Other practice location 1

301 E Wendover Ave
Greensboro, NC 27401-1230
Phone (336) 268-3380

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdavies251878@direct.vidant.com Health Information Exchange (HIE)
Direct Messaging Address melissa.davies@eaglep.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001098 NC Practitioner - Obstetrics/Gynecology 9931479128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Campbell Univ School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

14330 Oakhill Park LN
Suite 200
Huntersville, NC 28078-3407
Phone (704) 316-4830

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021-01634NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jul 19, 2021 Accepting new patients
Novant Health Medical Group LLC Obstetrics & Gynecology CurrentSince Jun 28, 2025 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jun 28, 2025 Accepting new patients
Eagle Physicians and Associates PA Obstetrics & Gynecology CurrentSince Jul 19, 2021 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

4130 Clemmons Rd
Clemmons, NC 27012
Phone (336) 277-1890

301 E Wendover Ave
Ste 300
Greensboro, NC 27401
Phone (336) 268-3380

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

1730 Kernersville Medical Pkwy
Ste 104
Kernersville, NC 27284

108 W Medical Park Dr
Lexington, NC 27292
Phone (336) 243-7054

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2909 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 277-0340

656 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4380

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

114 Charlois Blvd
Winston Salem, NC 27103

Interoperability endpoints

  • Direct secure messaging: mdavies1712147@direct.novanthealth.org

Organizations & group practices 9

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1932636016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 300",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011231",
            "telephone_number": "336-268-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 104",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847198",
            "telephone_number": "336-765-5470",
            "fax_number": "336-499-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011230",
            "country_code": "US",
            "telephone_number": "336-268-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "MELISSA",
        "middle_name": "STOUT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2021-01634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavies251878@direct.vidant.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.davies@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "301 E Wendover Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.