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MELISSA L CLARY PA-C
NPI 1194807651
Physician Assistant - Medical in Charlotte, NC

Active since October 20, 2006PECOS Enrolled
1709 EAST BLVD, CHARLOTTE, NC 28203(704) 333-6642(704) 332-6642 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa L Clary Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA L CLARY PA-C (NPI 1194807651) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-03356) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194807651
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELISSA L CLARYCredential: PA-C
Location Address1709 EAST BLVDCharlotte, NC 28203-5823
Mailing Address100 Hawthorn LnDaniels, WV 25832-9269 · (304) 763-8555
Phone(704) 333-6642
Fax(704) 332-6642
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateMarch 23, 2012
✔ NPI 1194807651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-03356
Also ListedPhysician AssistantTaxonomy 363A00000X · License 01237 (WV)
1709 EAST BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Other Identifiers 8

Medicare PIN2028005WV
Medicare PIN2028001WV
Medicare PIN2028004WV
Medicare PIN2028002WV
Medicare PIN2028003WV
Other001913138WV · Ms Bcbs
Medicare UPINQ73158WV
Medicaid3810007173WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa L Clary Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METRO MEDICAL HOUSE CALLS,PC
Clinic/Center (Primary Care)
1709 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 333-6642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Clary's NPI number?

The NPI number for Melissa Clary is 1194807651. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Melissa Clary located?

Melissa Clary practices at 1709 East Blvd, Charlotte, NC 28203. The listed phone number is (704) 333-6642.

What is Melissa Clary's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Clary enrolled in Medicare?

Yes. Melissa Clary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Clary was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.