Individual provider · Type 1 NPI

Melinda Homa

Surgical Physician Assistant · Memphis, TN

NPI number 1104569649 Active

Practice location

1068 Cresthaven Rd Ste 500
Memphis, TN 38119-0846

Fax (901) 302-2525

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

Other practice locations

  • 262 Danny Thomas Pl, Memphis, TN 38105-3678 · (901) 595-3300
  • 6584 Poplar Ave Ste 400, Memphis, TN 38138-3612 · (901) 300-6713

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5073 (TN)
Physician Assistant 363A00000X5073 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1104569649

Melinda Homa's National Provider Identifier is 1104569649, issued on Apr 13, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Mar 26, 2025.