Individual provider Active NPI

Tammy Lee Hamzavi, P.A.

  • Physician Assistant
  • Palm Bay, FL
National Provider Identifier
1932412285
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113137 Issued in FL
Practice address
1091 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905
Phone
(321) 327-2564
Fax
(321) 241-3027
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113137 FL Primary

Addresses

Primary practice location

1091 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905

Mailing address

1091 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905
Phone (321) 327-2564

Other names 1

  • Tammy Lee Hamzavi Former name

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
I20251028003844 FL Practitioner - Physician Assistant 9537478490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Hamzavi MD LLCGroup PAC ID 9931557741, 2 clinicians

Practice addresses (Care Compare)

1091 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905-5100
Phone (267) 481-0901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113137FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Hamzavi MD, LLC CurrentSince Oct 16, 2025 Accepting new patients

Locations

1091 Port Malabar Blvd NE
Ste 2
Palm Bay, FL 32905
Phone (321) 409-3073

Organizations & group practices 1

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1932412285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-327-2564",
            "fax_number": "321-241-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-327-2564",
            "fax_number": "321-241-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZAVI",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HAMZAVI",
            "middle_name": "LEE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.