Melanie Methvin Pendergrass (NPI# 1336508282, PAC ID# 7113223553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336508282 |
| PAC ID by PECOS | 7113223553 |
| Professional Enrollment ID | I20160310000511 |
| Full Name | Melanie Methvin Pendergrass |
| Organization Legal Name | NEUROMICROSPINE PLLC |
| Address |
200 Calusa Blvd Suite 300 Destin FL 32541-5753 |
| Phone Number | 8509347545 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365686144 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100093 | BAPTIST HOSPITAL |
| 100266 | GULF BREEZE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Calusa Blvd, Suite 300, Destin, FL 32541-5753 | 8509347545 | NEUROMICROSPINE PLLC |
| Organization Legal Name | NEUROMICROSPINE PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Alan Berens | Physician Assistant | Neuromicrospine Pllc | 201 S A St, Pensacola, FL 32502-5554 |
| Mark A Giovanini | Neurosurgery | Neuromicrospine Pllc | 200 Calusa Blvd, Suite 300, Destin, FL 32541-5753 |
| Jennifer M Stein | Physician Assistant | Neuromicrospine Pllc | 201 S A St, Pensacola, FL 32502-5554 |
| Matthew Blake Hammond | Physician Assistant | Neuromicrospine Pllc | 201 S A St, Pensacola, FL 32502-5554 |
| Clark S. Metzger Sr. | Orthopedic Surgery | Neuromicrospine Pllc | 9400 University Pkwy, Suite 309, Pensacola, FL 32514-5485 |
| Street Address |
200 CALUSA BLVD SUITE 300 |
| City | DESTIN |
| State | FL |
| Zip | 32541-5753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine B Bryan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Health Consultants | 200 Calusa Blvd, Suite 100, Destin, FL 32541-5753 |
| Mark A Giovanini | Neurosurgery | Neuromicrospine Pllc | 200 Calusa Blvd, Suite 300, Destin, FL 32541-5753 |
| Douglas C Mcouat | Certified Registered Nurse Anesthetist (crna) | Anesthesia Health Consultants | 200 Calusa Blvd, Suite 100, Destin, FL 32541-5753 |
| Michael T Harris | Physical Medicine and Rehabilitation | Ortho Florida, LLC | 200 Calusa Blvd, Suite 300, Destin, FL 32541-5753 |
| Scott T Rusin | Physical Therapy | Iperformance Center | 200 Calusa Blvd, Suite 300, Destin, FL 32541-5753 |
| Emily R Villarreal | Certified Registered Nurse Anesthetist (crna) | Anesthesia Health Consultants | 200 Calusa Blvd, Suite 100, Destin, FL 32541-5753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C Henry Ii | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
| Stephen C Henry | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
| John W Keller | Psychologist, Clinical | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
| Victoria E Miller | Clinical Social Worker | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
| Kenneth Davis Whidden Jr. | Chiropractic | 501 Harbor Blvd C, Destin, FL 32541-2348 | |
| Michael E Raim | Optometry | 501 Harbor Blvd, Suite D, Destin, FL 32541-2348 | |
| James Moody | General Surgery | 415 Mountain Dr, Suite 6, Destin, FL 32541-2349 | |
| Patricia Walsh | Clinical Social Worker | 385 Harbor Blvd, Suite 101b, Destin, FL 32541-2351 | |
| Charles Bernard Barniv | Family Medicine | 462 Harbor Blvd, Suite 3, Destin, FL 32541-2436 | |
| John Quinn | Physical Therapy | 623 Harbor Blvd, Suite 5, Destin, FL 32541-2436 | |
| Find all physicians in zip 32541 | |||
| City | DESTIN |
| Zip Code | 32541 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DESTIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melanie Methvin Pendergrass.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.