Active NPI
Clint Merritt, M.D.
- Surgery Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39218
- Practice address
- 1831 5TH Ave
Columbus, GA 31904-8915 - Phone
- (706) 320-8660
- Fax
- (706) 320-8664
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 88708 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10052466 | TX | |
| Surgery Physician | 208600000X | 39218 | OK | Primary |
Addresses
Primary practice location
1831 5TH Ave
Columbus, GA 31904-8915
Mailing address
1245 S Utica Ave Ste 202
Tulsa, OK 74104-4200
Phone (918) 579-3840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Surgical Oncology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
Hospital & facility affiliations
- Hillcrest Medical Center
- Ascension St John Medical Center
- Hillcrest Hospital South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 52 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88708 | GA | MD | Surgery Physician |
| 39218 | OK | MD | Surgery Physician |
| BP10052466 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Surgery | Current | Accepting new patients |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
1245 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 579-2540
Interoperability endpoints
- cmerritt559251@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1275910192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S UTICA AVE STE 202",
"city": "TULSA",
"state": "OK",
"postal_code": "741044200",
"telephone_number": "918-579-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 5TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048915",
"telephone_number": "706-320-8660",
"fax_number": "706-320-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "CLINT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "88708",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10052466",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "39218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.