Individual provider Active NPI

Stephanie Dawn Merritt, NP

  • Family Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1114505922
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
181613 Issued in GA
Practice address
1268 Baymeadows Dr W
Douglas, GA 31535-6620
Phone
(912) 850-1572
NPI assigned
Apr 1, 2021
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 181613 GA Primary

Addresses

Primary practice location

1268 Baymeadows Dr W
Douglas, GA 31535-6620

Mailing address

1268 Baymeadows Dr W
Douglas, GA 31535-6620
Phone (912) 850-1572

Other names 1

  • Stephanie Dawn Merritt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221109003428 GA Practitioner - Nurse Practitioner 8022485739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

903 Ward St W
Douglas, GA 31533-3517
Phone (912) 260-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
181613GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 22, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Nov 1, 2025 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Apr 26, 2024 Accepting new patients
Coffee Regional Medical Center CurrentSince Apr 26, 2024 Accepting new patients
Universal Radiology Consultants PC PastSince Apr 26, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1301 Peterson Ave S
Ste B
Douglas, GA 31533
Phone (912) 383-6966

903 Ward St W
Douglas, GA 31533
Phone (912) 260-1191

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Organizations & group practices 6

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1114505922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 BAYMEADOWS DR W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315356620",
            "telephone_number": "912-850-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 BAYMEADOWS DR W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315356620",
            "telephone_number": "912-850-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "181613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MERRITT",
            "middle_name": "DAWN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.