Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammy Moran McConville, PA-C

Individual provider Physician Assistant · NPI 1134227754

Tammy Moran McConville, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 1994, 32 years ago. Practices with Bridgeport Behavioral Clinic, a 6-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and West Virginia.

Years since qualifying
32
Licensed in
FL, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

305 Memorial Med Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone: (386) 231-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Stadium Drive, Morgantown, WV 26506 — (304) 598-4800
  • 1 Medical Center Dr, Morgantown, WV 26506-1200 — (304) 598-4800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA91041 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 560 (WV)

Record details

NPI number1134227754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 21, 2022
Certification dateApril 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Bridgeport Behavioral Clinic — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Daytona Beach