Carolyn Lavon Merritt, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

1247 Issued in VI

Practice address

4031 Estate Lagrande Princess
Suite 35
Christiansted, VI 00820-4375

Phone

(340) 778-7546

Fax

(340) 778-7543

NPI assigned

Mar 27, 2007

Last updated

Apr 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8564/brand/1/csg/1/fhir/r4

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.

• Dr. Carolyn Merritt, PLLC

  • Specialist
  • Kingshill, VI
  • NPI 1891045712
  Medicare reassignment NPD Authorized official
• Dermatology & Skin Surgery Associates, SC

  • Dermatology Physician
  • Tinley Park, IL
  • NPI 1245342633
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1235257957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5240",
            "address_2": "SUITE 3 & 4",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008515240",
            "telephone_number": "340-778-7546",
            "fax_number": "340-778-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 ESTATE LAGRANDE PRINCESS",
            "address_2": "SUITE 35",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204375",
            "telephone_number": "340-778-7546",
            "fax_number": "340-778-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "CAROLYN",
        "middle_name": "LAVON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VI",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Kiah Meade
• Medical Express Depot
• Medical Imaging, Inc. (Quantum CT)
• Gloria Isabel Mendez, PH.D.
• Douglas William Menzies, D.C.
• Sharika Milligan
• MJPT LLC
• Suren K. Mody, M.D., F.R.C.S.
• Kevin Moloney, BCBA
• Jake Edward Monokian, D.C.

• Procedural Dermatology Physician in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Procedural Dermatology Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.

Verify at the official NPI Registry.