Beverly Ann Collins, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3687 Issued in FL

Practice address

8095 Spyglass Hill Road
Suite 101
Melbourne, FL 32940

Phone

(321) 757-0577

Fax

(321) 757-0474

NPI assigned

Jan 18, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Brevard Pain Management, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Titusville, FL
  • NPI 1346251022
  NPD
• Arcand Family Practice LLC

  • Primary Care Clinic/Center
  • Viera, FL
  • NPI 1124293238
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1700866647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8095 SPYGLASS HILL ROAD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-757-0577",
            "fax_number": "321-757-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8095 SPYGLASS HILL ROAD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-757-0577",
            "fax_number": "321-757-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069221200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Coll, CSA
• Loren Collarile
• College Internship Program, Inc.
• Janet L. Colli, M.D.
• Millicent Dair Collignon
• Brandon Collins, DC
• Brittany Nicole Collins, ARNP
• Deann Renee Collins, LCSW
• Madison Leigh Collins, MD
• Regina Darlene Collins, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.