Merrell Foot Clinic PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

492 Issued in TN

Legal business name

MERRELL FOOT CLINIC PC

Practice address

2250 Thornton Taylor Pkwy
Suite B
Fayetteville, TN 37334-3651

Phone

(931) 433-9600

Fax

(931) 433-9601

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marnie Lee Merrell

Title

President

Phone

(931) 389-9772

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Merrell Foot Clinic, PC

  • Non-Pharmacy Dispensing Site
  • Fayetteville, TN
  • NPI 1700137791
  NPPES parent name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1174662811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "BELL BUCKLE",
            "state": "TN",
            "postal_code": "370200327",
            "telephone_number": "931-389-9772",
            "fax_number": "931-389-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THORNTON TAYLOR PKWY",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343651",
            "telephone_number": "931-433-9600",
            "fax_number": "931-433-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRELL FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-389-9772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M McGuire, NP-C
• Jerry Gardner McKinney, D.D.S.
• Ashley McMeen, RN
• Joshua Meadows, AT
• Skylar Mefford
• Merrell Foot Clinic, PC
• Michael R Compton D.C.,P.C.
• Kimberly Smith Mills, LPTA
• Linda Sue Mills, LCSW
• Misty Dawn Slater PLLC

• Foot Surgery Podiatrist in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.