Individual provider Active NPI

Sere Catherine Merriman, PA

  • Physician Assistant
  • Union City, TN
National Provider Identifier
1245930437
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5631 Issued in TN
Practice address
1705 W Reelfoot Ave
Union City, TN 38261-5569
Phone
(731) 599-1102
Fax
(731) 599-1107
NPI assigned
Mar 6, 2023
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5631 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X TN

Addresses

Primary practice location

1705 W Reelfoot Ave
Union City, TN 38261-5569

Mailing address

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Other practice location 1

16400 Highland Dr
Mc Kenzie, TN 38201-2007
Phone (731) 514-0750

Other practice location 2

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1515

Other practice location 3

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240404003191 TN Practitioner - Physician Assistant 9739527078 Reassigns benefits to 3 organizations
I20260313002953 KY Practitioner - Physician Assistant 9739527078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians

Practice addresses (Care Compare)

300 S 8TH St
Suite 380W
Murray, KY 42071-2442
Phone (270) 753-0704

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5631TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Jan 28, 2026 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Jan 28, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 13, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 13, 2024 Accepting new patients
Emergency Medical Care Facilities PC Physician Assistant CurrentSince Oct 25, 2025 Accepting new patients
Joel Scott Craig Past Accepting new patients

Locations

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668

1705 W Reelfoot Ave
Union City, TN 38261
Phone (731) 599-1102

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1245930437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615569",
            "telephone_number": "731-599-1102",
            "fax_number": "731-599-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16400 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012007",
            "country_code": "US",
            "telephone_number": "731-514-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "SERE",
        "middle_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5631",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.