Individual provider Active NPI

Amy Marie Mellor, M.D.

  • Neurology Physician
  • Punta Gorda, FL
National Provider Identifier
1487714770
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME99024 Issued in FL
Practice address
713 E Marion Ave Ste 123
Punta Gorda, FL 33950-3862
Phone
(941) 833-1515
NPI assigned
Dec 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME99024 FL Primary

Addresses

Primary practice location

713 E Marion Ave Ste 123
Punta Gorda, FL 33950-3862

Mailing address

713 E Marion Ave Ste 123
Punta Gorda, FL 33950-3862
Phone (941) 833-1515

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.mellor.1@4692.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000484 FL Practitioner - Neurology 7911083621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

713 E Marion Ave
Punta Gorda, FL 33950-3862

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
  • Port Charlotte Rehabilitation Center Nursing home, Port Charlotte, FL, CCN 105524

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99024FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC Neurology CurrentSince Aug 1, 2007 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Aug 1, 2007 Accepting new patients
Florida Hospital Physician Group Inc Neurology CurrentSince May 12, 2025 Accepting new patients

Locations

3067 Tamiami Trl
Ste 2
Port Charlotte, FL 33952
Phone (941) 225-8351

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

713 E Marion Ave
Ste 125
Punta Gorda, FL 33950
Phone (941) 205-2242

713 E Marion Ave
Ste 123
Punta Gorda, FL 33950
Phone (941) 637-3143

713 E Marion Ave
Ste 135
Punta Gorda, FL 33950
Phone (941) 205-2370

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: amellor4473131@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1487714770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE STE 123",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503862",
            "telephone_number": "941-833-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE STE 123",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503862",
            "telephone_number": "941-833-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME99024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.mellor.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3067 Tamiami Trl",
            "address_2": "Suite 2",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339526619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.