ADAMANTIA ANNA MAMMAS (M.D.) – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1093822629

ADAMANTIA ANNA MAMMAS (M.D.) is a healthcare provider. based in Melbourne beach, Florida. specializing in Pediatric Emergency Medicine (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. ME55533 (FL). The NPI Number for ADAMANTIA ANNA MAMMAS (M.D.) is 1093822629

Main info

Female
Name
ADAMANTIA ANNA MAMMAS (M.D.)
NPI
1093822629
Phone
(407) 455-0829
Address
3219 S HIGHWAY A1A
Enumeration Date
23 August 2006
Last Update Date
12 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ADAMANTIA ANNA MAMMAS (M.D.)

  • 3219 S HIGHWAY A1A

    MELBOURNE BEACH, FL 329513432

    Phone: (407) 455-0829

    Type: Mailing

  • 5900 S JOHN YOUNG PKWY

    ORLANDO, FL 328393716

    Phone: (407) 398-6470

    Type: Location

  • 3133 TIMUCUA CIR

    ORLANDO, FL 328377122

    Phone: (407) 240-5584

    Type: Mailing

  • Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338054543

    Phone: (863) 687-1201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100430000205IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32951)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ADAMANTIA ANNA MAMMAS (M.D.)?
ADAMANTIA ANNA MAMMAS (M.D.) — NPI 1093822629 — is the standard way to identify this listing.
Is ADAMANTIA ANNA MAMMAS (M.D.) still practicing?
ADAMANTIA ANNA MAMMAS (M.D.) is currently listed as active in the public NPI registry.
What is ADAMANTIA ANNA MAMMAS (M.D.)'s primary classification?
Pediatric Emergency Medicine (Emergency Medicine) Physician is the headline specialty for ADAMANTIA ANNA MAMMAS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is ADAMANTIA ANNA MAMMAS (M.D.) based?
ADAMANTIA ANNA MAMMAS (M.D.) is tied to Melbourne Beach, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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