Individual provider Active NPI

Pauline T Merrill, MD

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1104826841
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
90924 Issued in SC
Practice address
1126 Grove Rd
Greenville, SC 29605-4620
Phone
(864) 233-5722
Fax
(864) 233-6027
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 036096119 IL
Ophthalmology Physician 207W00000X 9500667 NC
Ophthalmology Physician 207W00000X 90924 SC Primary
Ophthalmology Physician 207W00000X 036096119 IL

Addresses

Primary practice location

1126 Grove Rd
Greenville, SC 29605-4620

Mailing address

1126 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Other practice location 1

528 Old Greenville Hwy
Clemson, SC 29631-1750
Phone (864) 233-5722

Other practice location 2

1130 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmerrill@rcc.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101208000268 IL Practitioner - Ophthalmology 6608842885 Reassigns benefits to 1 organization
I20240306002297 SC Practitioner - Ophthalmology 6608842885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Carolina, PAGroup PAC ID 2163559477, 11 clinicians

Practice addresses (Care Compare)

1126 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096119ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Carolina, PA Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Sep 1, 1997 Accepting new patients

Locations

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

71 W 156th St
Ste 400
Harvey, IL 60426
Phone (708) 596-8710

528 Old Greenville Hwy
Clemson, SC 29631
Phone (864) 233-5722

1126 Grove Rd
Greenville, SC 29605
Phone (864) 233-5722

1130 Grove Rd
Greenville, SC 29605
Phone (803) 232-9644

Interoperability endpoints

  • Direct secure messaging: pmerrill50896@direct.luhs.org
  • Direct secure messaging: pmerrill3869@direct.rush.rush-health.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1104826841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Old Greenville Hwy",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311750",
            "country_code": "US",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054620",
            "country_code": "US",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "PAULINE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036096119",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9500667",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "90924",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036096119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmerrill@rcc.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "1126 Grove Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.