IndividualActive
Tammy Mcconville, PA-C
NPI 1134227754 · Physician Assistant · Daytona Beach, FL
Provider details
- NPI number
- 1134227754
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 560 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 Memorial Med Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone: (386) 231-3600
Street-level locationGet directions
Mailing address
305 Memorial Med Pkwy Ste 308
Daytona Beach, FL 32117-5137
Additional practice locations (2)
- 1 Stadium DriveMorgantown, WV 26506Phone: (304) 598-4800Fax: (304) 293-6963
- 1 Medical Center DrMorgantown, WV 26506-1200Phone: (304) 598-4800
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2022-07-21
- Certified
- 2021-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.