NPIMap

Individual provider Active NPI

Pamela L Melera, MD

  • Surgery Physician
  • Marietta, GA
National Provider Identifier
1659685279
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR0064852 Issued in CO
Practice address
55 Whitcher St NE Ste 130
Marietta, GA 30060-1156
Phone
(770) 428-0462
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 102306 GA
Student in an Organized Health Care Education/Training Program 390200000X TRN15078 FL
Surgery Physician 208600000X DR0064852 CO Primary

Addresses

Primary practice location

55 Whitcher St NE Ste 130
Marietta, GA 30060-1156

Mailing address

1895 Kingsley Ave
Orange Park, FL 32073-4466
Phone (904) 276-2549

Other practice location 1

1895 Kingsley Ave
Orange Park, FL 32073-4466
Phone (904) 276-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171026002411 FL Practitioner - General Surgery 1759517485 Reassigns benefits to 2 organizations
I20240903004306 ND Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1759517485 Reassigns benefits to 1 organization
I20250103000602 GA Practitioner - General Surgery 1759517485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

653 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32209-6511

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0064852COMDSurgery Physician
TRN15078FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 8, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Altru Health System CurrentSince Jul 30, 2024 Accepting new patients
Altru Health System CurrentSince Jul 30, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 8, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Altru Health System Surgery Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Kennestone Hospital, Inc. Past Accepting new patients
Northwest Florida Multispecialty Physicians LLC PastSince Sep 8, 2021 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Ste 3100
Jacksonville, FL 32218
Phone (904) 383-1015

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

55 Whitcher St NE
Ste 130
Marietta, GA 30060
Phone (770) 426-1629

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

Interoperability endpoints

  • Direct secure messaging: pmelera65872@direct.shands.ufl.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1659685279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466",
            "telephone_number": "904-276-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601156",
            "telephone_number": "770-428-0462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1895 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734466",
            "country_code": "US",
            "telephone_number": "904-276-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELERA",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "102306",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN15078",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR0064852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.