Active NPI
Merritt McCoy Tolan, MD
- Pain Medicine (Anesthesiology) Physician
- Ladson, SC
National Provider Identifier
1013555671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 16788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167884 | Medicaid | SC |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Pain Management PC | Current | Accepting new patients | |
| Carolina Pain Physicians | Pain Medicine | Current | Accepting new patients |
| Synovation Medical Group, LLC | Past | Accepting new patients | |
| Carolina Spine Pain LLC | Past | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Ladson, SC
- NPI 1316283062
Pain Medicine
-
- Physical Medicine & Rehabilitation Physician
- Anderson, SC
- NPI 1811543879
-
- Pain Medicine Physician
- Easley, SC
- NPI 1447918230
-
- Interventional Pain Medicine Physician
- South Miami, FL
- NPI 1306942602
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.