Provider Demographics
NPI:1366411209
Name:O'NEAL, MELISSA GOLD (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:GOLD
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 COMMERCE WAY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2829
Mailing Address - Country:US
Mailing Address - Phone:615-465-7000
Mailing Address - Fax:
Practice Address - Street 1:104 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2156
Practice Address - Country:US
Practice Address - Phone:252-809-6341
Practice Address - Fax:252-809-6376
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300858207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC8684OtherMEDCOST
NC8913447Medicaid
NC13447OtherBCBS
NCC8684OtherMEDCOST
H92731Medicare UPIN