Eve Lutrell Melendez, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10430 Issued in GA

Practice address

4150 Deputy Bill Cantrell Memorial Rd
Suite 240
Cumming, GA 30044-4827

Phone

(678) 400-0302

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eve Lutrell Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Astra Plastic Surgery, LLCGroup PAC ID 6709042104, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Astra Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • Alpharetta, GA
  • NPI 1992063606
  Medicare reassignment Care Compare group
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  Medicare reassignment Care Compare group
• Astra Plastic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
  • NPI 1669247110
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1659957421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300444827",
            "telephone_number": "678-400-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "EVE",
        "middle_name": "LUTRELL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "LUTRELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bailey Lester Meeks
• Colleen Meeks, LMSW
• Melissa Sanders Meeks
• Michelle Renee Meinhart, MSW
• Karen Joan Melde, NP
• Melissa J. McGinnis M.D.
• Melody in Motion Communication & Developmental Services LLC
• Alexis Jovann Mendez, MA, BCBA
• Alejandro Andres Mendoza
• Karem Vivian Menezes, M.D.

• Physician Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.