Melinda Berg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110009123 Issued in VA

Practice address

5800 Lake Wright Dr Ste 101
Norfolk, VA 23502-1804

Phone

(757) 222-5062

NPI assigned

May 20, 2021

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21022/brand/1/csg/1/fhir/r4

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.

• Chesapeake Diagnostic Imaging Centers, LLC

  dba Chesapeake Regional Imaging Center of Kingsborough

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1922056241
  Medicare reassignment
• First Meridian Medical LLC

  dba MRI CT Diagnostics

  • Specialist
  • Virginia Beach, VA
  • NPI 1194176149
  Medicare reassignment
• Volunteers in Medicine

  • Multi-Specialty Clinic/Center
  • Hilton Head Island, SC
  • NPI 1053435867
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1144894460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LAKE WRIGHT DR STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021804",
            "telephone_number": "757-222-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LAKE WRIGHT DR STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021804",
            "telephone_number": "757-222-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MELINDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4438",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112298",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3980",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Bentley
• Raymond Louis Benza, MD
• Hannah Rosie Berardo, DO
• Harvey Bercowitz, MD
• Mary Katherine Berenguer, AUDIOLOGIST
• Sierra Berg, NP
• Latashia L. Bergan, RDH
• Wayne Y Bergen, MD
• Evan M Berger
• Sally D Berger, LPC

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.

Verify at the official NPI Registry.