Garold Ray Merrill II, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5736 Issued in NC

Practice address

1401 71St School Rd
Fayetteville, NC 28314-2814

Phone

(910) 867-4960

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cogent Healthcare of North Carolina, PC

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1548207483
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1013642677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 71ST SCHOOL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142814",
            "telephone_number": "910-446-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 71ST SCHOOL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142814",
            "telephone_number": "910-867-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055640",
            "country_code": "US",
            "telephone_number": "910-609-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "GAROLD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arthur Mergy, MD
• Kelly Fogarty Mergy, NP
• Meridian Psychology Practice PLLC
• Krysti Darlene Meridieth, PHYSICIAN ASSISTANT
• Grace Lin Gammon Merrell, FNP
• Denise S. Merritt, MA, LMFT-ASSOCIATE
• Mariah Hope Merritt
• Rose Merritt
• Kaitlyn Mertz
• Brenda Marie Messenger, PTA

• Physical Therapy Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.