Individual provider Active NPI

Abby Bowen Melton, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1780908186
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
829 Issued in AL
Practice address
6234 Tattersall Blvd
Birmingham, AL 35242-4279
Phone
(205) 453-4195
Fax
(205) 533-7385
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013914 NY
Physician Assistant 363A00000X 829 AL Primary

Addresses

Primary practice location

6234 Tattersall Blvd
Birmingham, AL 35242-4279

Mailing address

6234 Tattersall Blvd
Birmingham, AL 35242-4279
Phone (205) 453-4195

Other practice location 1

11 N Norton Ave
Sylacauga, AL 35150-2451
Phone (205) 453-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121213000272 AL Practitioner - Physician Assistant 7214189513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naaman Clinic, LLCGroup PAC ID 5799082699, 6 clinicians

Practice addresses (Care Compare)

11 N Norton Ave
Sylacauga, AL 35150-2451
Phone (205) 453-4195

1720 University Blvd
Suite H201
Birmingham, AL 35233-1816
Phone (205) 453-4195

6234 Tattersall Blvd
Birmingham, AL 35242-4279
Phone (205) 453-4195

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
829ALMDChiropractor
013914NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Sep 19, 2012 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 19, 2012 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1720 University Blvd
Ste H201
Birmingham, AL 35233
Phone (205) 453-4195

Organizations & group practices 3

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780908186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 TATTERSALL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424279",
            "telephone_number": "205-453-4195",
            "fax_number": "205-533-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 TATTERSALL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424279",
            "telephone_number": "205-453-4195",
            "fax_number": "205-533-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N Norton Ave",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351502451",
            "country_code": "US",
            "telephone_number": "205-453-4195",
            "fax_number": "205-533-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ABBY",
        "middle_name": "BOWEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013914",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.