AMANDA GRAY CONNAN PA-C
NPI 1851584593
Physician Assistant in Melbourne, FL

Q: What is Amanda Connan's NPI number?

The NPI number for Amanda Connan is 1851584593. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Q: What is Amanda Connan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Connan was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2007

8725 N WICKHAM RD, SUITE 302, MELBOURNE, FL 32940(321) 434-9230(321) 434-9231 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Gray Connan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GRAY CONNAN PA-C (NPI 1851584593) is an individual physician assistant in Melbourne, Florida, licensed in Florida (PA9106972) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1851584593

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA GRAY CONNANCredential: PA-C

Location Address8725 N WICKHAM RD, SUITE 302Melbourne, FL 32940-2239

Mailing AddressPo Box 561600Rockledge, FL 32956-1600 · (321) 434-4600 · Fax (321) 259-0635

Phone(321) 434-9230

Fax(321) 434-9231

Sole ProprietorNo

Enumeration DateAugust 27, 2007

Last NPPES UpdateNovember 29, 2012

✔ NPI 1851584593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9106972

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 005133 (GA)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9106972 (FL)

8725 N WICKHAM RD, Melbourne, FL 32940

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Other Identifiers 3

Medicare PINGR440ZFL

Medicare PIN510I970033AL

Medicare PIN511I970009GA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATHAN D ALLISON M.D.

Surgery

8725 N WICKHAM RD, SUITE 302
MELBOURNE, FL 32940

Brevard County (321) 434-9230

MARTIN E AVALOS MD

Internal Medicine (Gastroenterology)

8725 N WICKHAM RD, SUITE 302
MELBOURNE, FL 32940

Brevard County (321) 434-9230

PATRICIA MARIE HORN TOWERS ARNP

Nurse Practitioner

8725 N WICKHAM RD, SUITE 302
MELBOURNE, FL 32940

Brevard County (321) 434-9230

JOSEPH THOMAS SKAGE

Physician Assistant (Surgical)