Individual provider Active NPI

Abbey Elisabeth McMurray, PA

  • Dermatology Physician
  • Port Orange, FL
National Provider Identifier
1760064505
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9116272 Issued in FL
Practice address
1720 Dunlawton Ave Ste 2
Port Orange, FL 32127-2916
Phone
(386) 322-8310
Fax
(386) 322-8370
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 9116272 FL Primary

Addresses

Primary practice location

1720 Dunlawton Ave Ste 2
Port Orange, FL 32127-2916

Mailing address

850 Sprague St
Daytona Beach, FL 32117-5627
Phone (615) 812-3036

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817004007 FL Practitioner - Physician Assistant 2062895469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

1410 W Broadway St
Suite 205
Oviedo, FL 32765-6472
Phone (407) 359-2100

1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812

1720 Dunlawton Ave
Suite 2
Port Orange, FL 32127-2916
Phone (386) 322-8310

3 Pine Cone Dr
Suite 102
Palm Coast, FL 32137-8684
Phone (386) 864-6005

725 W Granada Blvd
Suite 44
Ormond Beach, FL 32174-9406
Phone (386) 898-0547

8 Office Park Dr
Palm Coast, FL 32137-3808
Phone (386) 446-4466

818 N Woodland Blvd
Deland, FL 32720-2709
Phone (386) 738-8000

Merit-based Incentive Payment System (MIPS)

Final score
83.67 of 100Reported as group
Quality
80.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9116272FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Oct 3, 2022 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Oct 3, 2022 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients
Trevecca Nazarene University PastSince Apr 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

3 Pine Cone Dr
Ste 102
Palm Coast, FL 32137
Phone (386) 446-5505

1720 Dunlawton Ave
Ste 2
Port Orange, FL 32127
Phone (386) 322-8310

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1760064505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SPRAGUE ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175627",
            "telephone_number": "615-812-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 DUNLAWTON AVE STE 2",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272916",
            "telephone_number": "386-322-8310",
            "fax_number": "386-322-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "ABBEY",
        "middle_name": "ELISABETH",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "9116272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.