Individual provider Active NPI

Melanie B Todd, PA

  • Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1053577106
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104607 Issued in FL
Practice address
1511 Surgeons Dr
Tallahassee, FL 32308-4632
Phone
(850) 701-0695
Fax
(850) 701-0696
NPI assigned
Jul 29, 2008
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104607 FL Primary

Addresses

Primary practice location

1511 Surgeons Dr
Tallahassee, FL 32308-4632

Mailing address

PO Box 12427
Tallahassee, FL 32317-2427
Phone (850) 701-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108000468 FL Practitioner - Physician Assistant 5092983585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1401 Centerville Rd
Tallahassee, FL 32308-4639

15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105

6721 Thomasville Rd
Tallahassee, FL 32312-4876
Phone (850) 431-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006107GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PA9104607FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Nov 21, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Physician Assistant Current Accepting new patients
Tallahassee Medical Group, PLLC CurrentSince Jan 11, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Nov 21, 2024 Accepting new patients
Archbold Medical Group, Inc. Past Accepting new patients
Tallahassee Primary Care Associates, PA Past Accepting new patients

Locations

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1511 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 701-0695

6721 Thomasville Rd
Ste 4
Tallahassee, FL 32312
Phone (850) 431-9000

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

Interoperability endpoints

  • Direct secure messaging: melanietodd@telmedgrp.allscriptsdirect.net
  • Direct secure messaging: melanietodd@tmhpp.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1053577106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-701-0695",
            "fax_number": "850-701-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084632",
            "telephone_number": "850-701-0695",
            "fax_number": "850-701-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MELANIE",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.