Melanie P Mire, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.A10541 Issued in LA

Practice address

1200 Pinnacle Pkwy Ste 7
Suite 230
Covington, LA 70433-9169

Phone

(985) 643-4144

NPI assigned

Jun 2, 2008

Last updated

Feb 22, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Pain and Anesthesia Consultants, LLCGroup PAC ID 4082526124, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: melanie.mire.p1@direct.southernpain.nextgenshare.com

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.

• Southern Pain & Anesthesia Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Metairie, LA
  • NPI 1881622538
  Medicare reassignment Care Compare group
• Southern Pain & Anesthesia Consultants LLC

  dba Southern Pain & Neurological

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1427876861
  NPD
• Southern Pain & Anesthesia Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Lacombe, LA
  • NPI 1295985000
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1710146113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7725",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700107725",
            "telephone_number": "504-887-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY STE 7",
            "address_2": "SUITE 230",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339169",
            "telephone_number": "985-643-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "MELANIE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ralph Millet Jr., M.D.
• Melissa Milligan, LMT
• Mallory Milton
• Robert Charles Mipro III
• Katie C Miranda, SLP
• Mis Counseling LLC
• Danielle Wood Mistretta, LPC
• Janero Mitchell
• Jonathan S Mitchell, PT,ATC
• Sarah Mitchell, DPT

• Physician Assistant in Covington, LA
• Providers in Covington, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.