Individual provider Active NPI

Brian Scott Merritt

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1023848470
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29205 Issued in SC
Practice address
729 SE Main St
Simpsonville, SC 29681-3218
Phone
(864) 454-6100
NPI assigned
Aug 1, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29205 SC Primary
Emergency Registered Nurse 163WE0003X 217083 SC

Addresses

Primary practice location

729 SE Main St
Simpsonville, SC 29681-3218

Mailing address

422 Sparrow Hawk CT
Greer, SC 29650-3105
Phone (864) 809-5167

Other practice location 1

3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002439 SC Practitioner - Nurse Practitioner 8820529381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217083SCMDEmergency Registered Nurse
29205SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 16, 2024 Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

3025 Wade Hampton Blvd
Taylors, SC 29687
Phone (864) 643-2340

Interoperability endpoints

  • Direct secure messaging: bmerritt538158@direct.ghs.myhfn.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1023848470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SPARROW HAWK CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296503105",
            "telephone_number": "864-809-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813218",
            "telephone_number": "864-454-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Taylors",
            "state": "SC",
            "postal_code": "296872715",
            "country_code": "US",
            "telephone_number": "864-643-2340",
            "fax_number": "864-643-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29205",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "217083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.