Individual provider Active NPI

Brandon Patrick Merrill, MD

  • Dermatology Physician
  • Thomasville, GA
National Provider Identifier
1285983734
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
80016 Issued in GA
Practice address
119 W Hill St
Thomasville, GA 31792-6618
Phone
(229) 225-1900
Fax
(229) 225-3472
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 80016 GA Primary

Addresses

Primary practice location

119 W Hill St
Thomasville, GA 31792-6618

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (571) 982-6636

Other practice location 1

3 Magnolia Ct
Moultrie, GA 31768-6764
Phone (229) 225-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180827000392 GA Practitioner - Dermatology 7810122546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

119 W Hill St
Thomasville, GA 31792-6618
Phone (770) 304-2220

3 Magnolia CT
Moultrie, GA 31768-6764
Phone (229) 225-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1939
Removal or shaving of skin growth179
Skin biopsy216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80016GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta North Dermatology & Skin Care, Inc. Dermatology CurrentSince Jul 17, 2018 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jan 25, 2020 Accepting new patients
Privia Pediatric Medical Group of Georgia LLC Current Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jan 25, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

3 Magnolia Ct
Moultrie, GA 31768
Phone (229) 225-1900

119 W Hill St
Thomasville, GA 31792
Phone (229) 225-1900

100 Stoneforest Dr
Ste 320
Woodstock, GA 30189
Phone (770) 516-5199

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brandon.merrill.1@8042.direct.athenahealth.com

Organizations & group practices 5

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1285983734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034173",
            "telephone_number": "571-982-6636",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W HILL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926618",
            "telephone_number": "229-225-1900",
            "fax_number": "229-225-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Magnolia Ct",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686764",
            "country_code": "US",
            "telephone_number": "229-225-1900",
            "fax_number": "229-225-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "BRANDON",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "80016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.