Active NPI
Adamantia Anna Mammas, M.D.
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Orlando, FL
National Provider Identifier
1093822629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- ME55533
- Practice address
- 5900 S John Young Pkwy
Orlando, FL 32839-3716 - Phone
- (407) 398-6470
- NPI assigned
- Aug 23, 2006
- Last updated
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | ME55533 | FL | Primary |
Addresses
Primary practice location
5900 S John Young Pkwy
Orlando, FL 32839-3716
Mailing address
3219 S Highway A1A
Melbourne Beach, FL 32951-3432
Phone (407) 455-0829
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Current | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 8
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Pediatrics Physician
- Apopka, FL
- NPI 1063172021
-
- Pediatrics Physician
- Apopka, FL
- NPI 1407974579
-
- Pediatrics Physician
- Kissimmee, FL
- NPI 1609536671
-
- Pediatrics Physician
- Port St Lucie, FL
- NPI 1699435669
-
- Pediatrics Physician
- Kissimmee, FL
- NPI 1730848763
-
- Pediatrics Physician
- Jacksonville, FL
- NPI 1780344754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1093822629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 S HIGHWAY A1A",
"city": "MELBOURNE BEACH",
"state": "FL",
"postal_code": "329513432",
"telephone_number": "407-455-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-398-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMMAS",
"first_name": "ADAMANTIA",
"middle_name": "ANNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME55533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.