Suzanne R. Mericle, DMD, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

011052 Issued in GA

Legal business name

SUZANNE R. MERICLE, DMD, PC

Practice address

123 Main St
St Simons Island, GA 31522-1680

Phone

(912) 638-3559

Fax

(912) 638-0360

NPI assigned

May 14, 2014

Last updated

Mar 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne R. Mericle, DMDNPI 1073671533

Title

Owner/Dentist

Phone

(912) 638-3559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne R. Mericle, D.M.D.

  • General Practice Dentistry
  • St Simons Island, GA
  • NPI 1073671533
  NPD (past) Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1063823870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221680",
            "telephone_number": "912-638-3559",
            "fax_number": "912-638-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221680",
            "telephone_number": "912-638-3559",
            "fax_number": "912-638-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE R. MERICLE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MERICLE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "912-638-3559",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "011052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000484294A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Simons Psychiatry, LLC
• Horace Stringfellow V, PT
• Julie S Sullens, DPT
• Lisia A Sullins, NP
• Emma Anne Summers, DPT
• Michael J. Swaney, MD
• Denise Renea Taylor, LMT
• Megan Anne Taylor, DPT
• Kailey Elizabeth Temmer Smith, MSW, LSW
• Deborah Ann Temmer, LPC

• Durable Medical Equipment & Medical Supplies in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.