Alexandra Grammenos, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS16130 Issued in FL

Practice address

2305 Vidina Dr Ste 102
Melbourne, FL 32940-8066

Phone

(321) 441-8332

Fax

(321) 319-4931

NPI assigned

Apr 5, 2018

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Nova Southeastern College of Osteo Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.67 of 100Reported as group

Quality

80.78

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: agrammenos@foryourbestself.emadirect.md

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.

• Forefront Dermatology, S.C.

  dba Advanced Dermatology & Skin Care Centre

  • Dermatology Physician
  • Miramar Beach, FL
  • NPI 1154815546
  Medicare reassignment Care Compare group NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surq

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1083872535
  Medicare reassignment Care Compare group NPD
• Brevard Medical Dermatology, PA

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1649676669
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  dba Knight Dermatology, A Forefront Dermatology Practice

  • Dermatology Physician
  • Winter Park, FL
  • NPI 1639986490
  NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surgery

  • Dermatology Physician
  • Oviedo, FL
  • NPI 1285892745
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surgery

  • Dermatology Physician
  • Orlando, FL
  • NPI 1316105885
  NPD (past)
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology And Cosmetic Surgery

  • Dermatology Physician
  • Heathrow, FL
  • NPI 1528097284
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1477059590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 VIDINA DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408066",
            "telephone_number": "321-441-8332",
            "fax_number": "321-319-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6559 N Wickham Rd Ste C-105",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402052",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034280",
            "country_code": "US",
            "telephone_number": "321-312-1352",
            "fax_number": "321-312-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAMMENOS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrammenos@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "420 5th Ave",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329034280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrammenos@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 Vidina Dr Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrammenos@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6559 N Wickham Rd Ste C-105",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Halcian L Graham, PAC
• Iris Kathryn Graham, PA-C
• Matthew Graham
• Nascia Suean Graham, PMHNP
• Trinity Catherine Graham, ARNP
• Naomi Ruth Grammer, RCSWI
• Grammys House Corp
• Madgianna Grant-Sommerville, LPN
• Autumn Grant, RBT
• Dominique Michelle Grant

• Dermatology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.