Individual provider Active NPI

Merritt McCoy Tolan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Ladson, SC
National Provider Identifier
1013555671
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
16788 Issued in SC
Practice address
9404 Highway 78 Ste 100
Ladson, SC 29456-3909
Phone
(843) 737-0437
Fax
(843) 789-3053
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16788 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 16788 SC Primary

Addresses

Primary practice location

9404 Highway 78 Ste 100
Ladson, SC 29456-3909

Mailing address

9404 Highway 78 Ste 100
Ladson, SC 29456-3909
Phone (843) 737-0437

Other identifiers 1

IdentifierTypeStateIssuer
167884MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Pain Management PC CurrentSince Sep 1, 2024 Accepting new patients
Carolina Pain Physicians Pain Medicine CurrentSince May 1, 2024 Accepting new patients
Synovation Medical Group, LLC PastSince Jun 9, 2024 Accepting new patients
Carolina Spine Pain LLC PastSince Dec 5, 2021 Accepting new patients
Capitol Anesthesiology, PC Anesthesiology Past Accepting new patients

Locations

108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597

9404 Highway 78
Ste 100
Ladson, SC 29456
Phone (843) 737-0437

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14377/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1013555671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 HIGHWAY 78 STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563909",
            "telephone_number": "843-737-0437",
            "fax_number": "843-789-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 HIGHWAY 78 STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563909",
            "telephone_number": "843-737-0437",
            "fax_number": "843-789-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLAN",
        "first_name": "MERRITT",
        "middle_name": "MCCOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "16788",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "16788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167884",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.