Direct Secure Messaging

What is it?

Direct secure messaging (Direct) is a standardized protocol for exchanging clinical messages and attachments.  The latest version of EHR certification requires Direct messaging capability, and physicians can use Direct to meet the Meaningful Use stage 2 requirement that they exchange clinical summaries at transitions of care.


Below is a limited directory of direct email addresses.  These are providers/practices who have given us permission to include them on our website, but it is not comprehensive of western North Carolina. 

There are two lists:

Alphabetical by Practice Alphabetical by Provider


If you would like to include your practice in this listing, please email

Alphabetical by Practice



Alphabetical by Provider