Provider Demographics
NPI:1164487526
Name:MELOY, THOMAS STUART (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:STUART
Last Name:MELOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SAUNDERSVILLE RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8903
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:855-540-4722
Practice Address - Street 1:160 KIMEL FOREST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6074
Practice Address - Country:US
Practice Address - Phone:336-747-1800
Practice Address - Fax:336-714-6402
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37897207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1374FNOtherBLUE CROSS & BLUE SHIELD
NC7491620OtherAETNA
NC8958595Medicaid
NCD8836OtherMEDCOST
NCD8836OtherMEDCOST
NC2149271HMedicare ID - Type Unspecified