Active NPI
Clinton T. Merritt, M.D.
- Hospitalist Physician
- Fishersville, VA
National Provider Identifier
1114990207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0101234711
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939 - Phone
- (540) 932-4075
- Fax
- (540) 932-5199
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52553 | AZ | |
| Hospitalist Physician | 208M00000X | 0101234711 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5162
Other practice location 1
2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444
Other practice location 2
2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10067065 | Other | VA | VA PREMIER |
| 2237898 | Other | VA | FIRST HEALTH |
| 5084062 | Other | VA | CIGNA |
| 90408 | Other | VA | OPTIMA |
| 010067065 | Medicaid | VA | |
| 136872 | Other | VA | ANTHEM |
| 236708 | Other | VA | SOUTHERN HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinton.merritt.1@14718.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Eastern Virginia Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52553 | AZ | MD | Internal Medicine Physician |
| 0101234711 | VA | MD | Medical Physician Assistant |
Interoperability endpoints
- clinton.merritt.1@14718.direct.athenahealth.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1114990207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-5162",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "22939",
"telephone_number": "540-932-4075",
"fax_number": "540-932-5199"
}
],
"practiceLocations": [
{
"address_1": "2946 E Banner Gateway Dr",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342165",
"country_code": "US",
"telephone_number": "480-256-6444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2946 E Banner Gateway Dr",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342165",
"country_code": "US",
"telephone_number": "480-256-6444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRITT",
"first_name": "CLINTON",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "52553",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101234711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "10067065",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2237898",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5084062",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "90408",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010067065",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "136872",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "236708",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinton.merritt.1@14718.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging Address",
"address_1": "78 Medical Center Dr",
"city": "Fishersville",
"state": "VA",
"country_code": "US",
"postal_code": "22939",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.