Active NPI
Melanie A Hurston, P.A.
- Surgical Physician Assistant
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.77
- Practice address
- 257 Winton M Blount Loop
Montgomery, AL 36117-3507 - Phone
- (334) 396-1886
- Fax
- (336) 396-1887
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.77 | AL | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
257 Winton M Blount Loop
Montgomery, AL 36117-3507
Mailing address
PO Box 231509
Montgomery, AL 36123-1509
Phone (334) 396-1886
Other names 1
- Melanie A Goodman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1957 E Samford Ave
Suite a
Auburn, AL 36830-6390
Phone (334) 209-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.77 | AL | MD | Surgical Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEHDD/Endpoint/BFEHDD
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Auburn, AL
- NPI 1265242713
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144379348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231509",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361231509",
"telephone_number": "334-396-1886",
"fax_number": "334-396-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-396-1886",
"fax_number": "336-396-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURSTON",
"first_name": "MELANIE",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA.77",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "GOODMAN",
"middle_name": "A",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.