Active NPI
Melissa Ann Ridings, PNP
- Nurse Practitioner
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011594
- Practice address
- 240 Broad St
Kernersville, NC 27284-2930 - Phone
- (336) 993-8333
- Fax
- (336) 993-5144
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011594 | NC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RIDI-HNOA0S | NC |
Addresses
Primary practice location
240 Broad St
Kernersville, NC 27284-2930
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1919 N Bridge St
Elkin, NC 28621-2105
Phone (336) 835-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011594 | NC | MD | Nurse Practitioner |
| RIDI-HNOA0S | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Community Health | Current | Accepting new patients | |
| High Country Community Health | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| High Country Community Health | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Pediatrics | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Capstone Wellness Center | Past | Accepting new patients | |
| Kids Count Pediatrics, PLLC | Past | Accepting new patients |
Locations
160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886
517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406
1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330
110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- mridings443430@direct.novanthealth.org
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Elkin, NC
- NPI 1336606938
-
- Federally Qualified Health Center (FQHC)
- Boone, NC
- NPI 1750646741
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Federally Qualified Health Center (FQHC)
- Mount Airy, NC
- NPI 1629942115
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1922721141
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Professional Counselor
- Sparta, NC
- NPI 1780008870
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkin, NC
- NPI 1023252061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1942769161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 BROAD ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842930",
"telephone_number": "336-993-8333",
"fax_number": "336-993-5144"
}
],
"practiceLocations": [
{
"address_1": "1919 N Bridge St",
"address_purpose": "LOCATION",
"city": "Elkin",
"state": "NC",
"postal_code": "286212105",
"country_code": "US",
"telephone_number": "336-835-7337",
"fax_number": "336-835-7301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDINGS",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011594",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "RIDI-HNOA0S",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.