Individual provider Active NPI

Mignon Metcalf, MD, MPH

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1568638369
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109576 Issued in FL
Practice address
1411 N Flagler Dr Ste 5000
West Palm Beach, FL 33401-3410
Phone
(561) 623-7955
Fax
(561) 264-8233
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME109576 FL
Internal Medicine Physician 207R00000X ME109576 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 5000
West Palm Beach, FL 33401-3410

Mailing address

1411 N Flagler Dr Ste 5000
West Palm Beach, FL 33401-3410
Phone (561) 623-7955

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
I20211020002809 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0042481863

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mmetcalf20426@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: mignon.metcalf@330509881311236.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1568638369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 5000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013410",
            "telephone_number": "561-623-7955",
            "fax_number": "561-264-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 5000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013410",
            "telephone_number": "561-623-7955",
            "fax_number": "561-264-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "MIGNON",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME109576",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.