Active NPI
Misty Leigh Khandjian, MPAS, PA-C
- Physician Assistant
- Tallahassee, FL
National Provider Identifier
1457065252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116931
- Practice address
- 1401 Centerville Rd Ste 202
Tallahassee, FL 32308-4638 - Phone
- (850) 877-7241
- NPI assigned
- Jan 6, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116931 | FL | Primary |
Addresses
Primary practice location
1401 Centerville Rd Ste 202
Tallahassee, FL 32308-4638
Mailing address
1779 Torulusa CT
Tallahassee, FL 32308-5556
Phone (770) 561-0689
Other names 1
- Misty Leigh Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230510003081 | FL | Practitioner - Physician Assistant | 4082070362 | |
| I20241119001689 | NC | Practitioner - Physician Assistant | 4082070362 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Florida State University College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Navaho Dr
Raleigh, NC 27609-7443
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
5324 McFarland Rd
Durham, NC 27707-6864
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.43 of 100
- Quality
- 57.3
- Improvement activities
- 0
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116931 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Interoperability endpoints
- mkhandjian580487@direct.medicine.duke.edu
Organizations & group practices 3
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Durham, NC
- NPI 1518725936
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 6
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": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1457065252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1779 TORULUSA CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085556",
"telephone_number": "770-561-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD STE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084638",
"telephone_number": "850-877-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDJIAN",
"first_name": "MISTY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "HAMILTON",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.
- 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.