Elizabeth Anne Meredith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103762 Issued in FL

Practice address

1286 Florida Ave S
Rockledge, FL 32955-2484

Phone

(321) 301-4747

Fax

(321) 633-3043

NPI assigned

Feb 19, 2008

Last updated

Jul 21, 2022By 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

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.33 of 100Reported as individual

Quality

93.33

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: elizabethmeredith@brevardskin.allscriptsdirect.net

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.

• Divani Dermatology LLC

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1255986113
  Medicare reassignment Care Compare group
• DRS Roberts & Bryan PA

  dba Brevard Skin & Cancer Centers

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1346226404
  Medicare reassignment
• Center for Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Tampa, FL
  • NPI 1558448522
  NPD (past)
• Florida Medical Clinic LLC

  • Clinic/Center
  • Zephyrhills, FL
  • NPI 1821055690
  NPD (past)
• Florida Medical Clinic, LLC

  dba Florida Medical Clinic Pharmacy

  • Pharmacy
  • Zephyrhills, FL
  • NPI 1669548020
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952579369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "813-780-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-301-4747",
            "fax_number": "321-633-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00928062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorymar Mendez
• Laura Marie Mendoza, D.O.
• Rebecca Mendoza, CRNA
• Mental Health Resource Center Inc
• Herbert Mercado, MD
• Justin Merritt, M.D
• Sandra Merritt, RN
• Stephanie Felicia Merritt
• Annmarie Metz, M.A., L.M.H.C.
• Deven Metzger, PA

• Physician Assistant in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.