Active NPI
Melinda Kathleen Carson, PA-C
- Physician Assistant
- Palm City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106893
- Practice address
- 2339 SW Martin Hwy
Palm City, FL 34990-3222 - Phone
- (772) 222-5302
- Fax
- (772) 210-0986
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106893 | FL | Primary |
Addresses
Primary practice location
2339 SW Martin Hwy
Palm City, FL 34990-3222
Mailing address
2339 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 222-5302
Other practice location 1
2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337
Other practice location 2
1070 SW Gatlin Blvd
Port St Lucie, FL 34953-3223
Phone (772) 408-9434
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2339 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 222-5302
2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Action Medical Center LLC | Current | Accepting new patients | |
| Glynnis J. Lyons, DO, PA | Past | Accepting new patients |
Locations
2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Palm City, FL
- NPI 1992242895
-
- General Practice Physician
- Palm City, FL
- NPI 1093183733
-
- Family Medicine Physician
- Jensen Beach, FL
- NPI 1265830368
-
- Rehabilitation Clinic/Center
- Palm City, FL
- NPI 1225592603
-
- Family Medicine Physician
- Stuart, FL
- NPI 1417144759
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1265783161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2339 SW MARTIN HWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903222",
"telephone_number": "772-222-5302",
"fax_number": "772-210-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 SW MARTIN HWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903222",
"telephone_number": "772-222-5302",
"fax_number": "772-210-0986"
}
],
"practiceLocations": [
{
"address_1": "2351 SW Martin Hwy",
"address_purpose": "LOCATION",
"city": "Palm City",
"state": "FL",
"postal_code": "349903222",
"country_code": "US",
"telephone_number": "772-324-9337",
"fax_number": "772-324-9347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1070 SW Gatlin Blvd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349533223",
"country_code": "US",
"telephone_number": "772-408-9434",
"fax_number": "772-210-0986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARSON",
"first_name": "MELINDA",
"middle_name": "KATHLEEN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.