Individual provider Active NPI

Tammy Strickland Melgar, PA-C

  • Physician Assistant
  • Surfside Beach, SC
National Provider Identifier
1801992433
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2174 Issued in SC
Practice address
1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Phone
(843) 650-4006
Fax
(843) 650-4225
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2174 SC
Physician Assistant 363A00000X 2174 SC Primary

Addresses

Primary practice location

1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833

Mailing address

PO Box 14690
Surfside Beach, SC 29587-4690
Phone (843) 650-4006

Other identifiers 1

IdentifierTypeStateIssuer
1994PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2174SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Care, PA Past Accepting new patients
Emergency Medicine Physicians of Lenoir County PLLC Past Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Holly Ridge Chiropractic & Auto Injury PastSince Aug 1, 2015 Accepting new patients
Sneads Ferry Medical Clinic PA Past Accepting new patients
South Whiteville Urgent Care & Family Practice PA Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1801992433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14690",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295874690",
            "telephone_number": "843-650-4006",
            "fax_number": "843-650-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-4006",
            "fax_number": "843-650-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "TAMMY",
        "middle_name": "STRICKLAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2174",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.