Eve Lutrell Melendez, PAC
Physician Assistant in Cumming, GA. Individual provider (NPI-1).
NPI number1659957421
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1659957421
- Entity type
- Individual (NPI-1)
- Name
- Eve Lutrell Melendez
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- Jun 23, 2021
- Last updated
- Jul 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10430 | GA | Yes |
Other names
- Eve Lutrell (Former Name)
Practice location
4150 Deputy Bill Cantrell Memorial RdSuite 240
Cumming, GA 30044-4827
Phone 678-400-0302
Mailing address
4150 Deputy Bill Cantrell Memorial RdSuite 240
Cumming, GA 30040-3069
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