Kelly Fogarty Mergy, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

940034 Issued in NC

Practice address

1235 Ramsey St
Fayetteville, NC 28301-4401

Phone

(910) 433-3704

NPI assigned

Jul 22, 2005

Last updated

Nov 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cumberland County Health Dept

  • Public Health or Welfare Agency
  • Fayetteville, NC
  • NPI 1831249986
  Medicare reassignment NPD
• Hoke Healthcare, LLC

  dba Hoke OB/GYN Clinic

  • Clinic/Center
  • Raeford, NC
  • NPI 1114277035
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1306846191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-609-6448",
            "fax_number": "910-609-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-433-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGY",
        "first_name": "KELLY",
        "middle_name": "FOGARTY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "940034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000948",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merah Transport Inc.
• Tabitha Mercado
• Mercy Home Medical Supply Inc.
• Mercy Home Medical Supply Inc.
• James Arthur Mergy, MD
• Meridian Psychology Practice PLLC
• Krysti Darlene Meridieth, PHYSICIAN ASSISTANT
• Grace Lin Gammon Merrell, FNP
• Garold Ray Merrill II, PTA
• Denise S. Merritt, MA, LMFT-ASSOCIATE

• Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.