Individual provider Active NPI

Thomas Carey Merritt, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1215927140
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME49825 Issued in FL
Practice address
9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230
Phone
(904) 725-6463
Fax
(904) 329-2349
NPI assigned
Oct 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME49825 FL Primary

Addresses

Primary practice location

9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230

Mailing address

9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230
Phone (904) 725-6463

Other identifiers 3

IdentifierTypeStateIssuer
268595700MedicaidFL
02550OtherFLBLUECROSS/BLUESHIELD
700006024OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070209000001 FL Practitioner - Psychiatry 9931101631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Artistic Psychiatric Associates LLC 8 clinicians

Practice addresses (Care Compare)

9889 Gate Pkwy N
Suite 305
Jacksonville, FL 32246-9230
Phone (904) 725-6463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49825FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artistic Psychiatric Associates LLC Psychiatry CurrentSince Dec 29, 2018 Accepting new patients

Locations

9550 Regency Square Blvd
Ste 903
Jacksonville, FL 32225
Phone (561) 523-9392

9889 Gate Pkwy N
Ste 305
Jacksonville, FL 32246
Phone (904) 725-6463

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.

NPI Registry JSON

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1215927140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469230",
            "telephone_number": "904-725-6463",
            "fax_number": "904-329-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469230",
            "telephone_number": "904-725-6463",
            "fax_number": "904-329-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "THOMAS",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-22",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME49825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268595700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "02550",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "700006024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.