Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Melissa Dedmond Boothe, RN, PA-C

Individual provider Physician Assistant · NPI 1023298163

Miss. Melissa Dedmond Boothe, RN, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2007, 19 years ago. Practices with Metrolina Dermatology and Skin Surgery Specialists PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2630 E Seventh St Ste 200
Charlotte, NC 28204
Phone: (704) 364-6110
Fax: (704) 364-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01104 (NC)

Record details

NPI number1023298163
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2007
Last updated in NPPESSeptember 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Metrolina Dermatology And Skin Surgery Specialists Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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