Individual provider Active NPI

Melissa Ball Foner, PA-C

  • Medical Physician Assistant
  • Memphis, TN
National Provider Identifier
1184091407
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2811 Issued in TN
Practice address
493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone
(901) 526-0802
Fax
(901) 525-4483
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2811 TN Primary

Addresses

Primary practice location

493 Dr ML King Jr Ave
Memphis, TN 38126-2548

Mailing address

215 Buntyn St
Memphis, TN 38111-1609
Phone (901) 652-4250

Other practice location 1

5050 Poplar Ave Ste 511
Memphis, TN 38157-0500
Phone (901) 682-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151208002612 TN Practitioner - Physician Assistant 4385945773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foner Med, PLLCGroup PAC ID 2860785052, 9 clinicians

Practice addresses (Care Compare)

493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone (901) 526-0802

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2811TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shakti'S Greenhouse LLC PastSince Jul 21, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.foner.1@15660.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184091407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BUNTYN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381111609",
            "telephone_number": "901-652-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 DR ML KING JR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262548",
            "telephone_number": "901-526-0802",
            "fax_number": "901-525-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Poplar Ave Ste 511",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381570500",
            "country_code": "US",
            "telephone_number": "901-682-3035",
            "fax_number": "901-682-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONER",
        "first_name": "MELISSA",
        "middle_name": "BALL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.