Active NPI
Abigail Merica
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 36771
- Practice address
- 1880 N Eastman Rd
Kingsport, TN 37664-2391 - Phone
- (865) 862-4557
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36771 | TN | Primary |
Addresses
Primary practice location
1880 N Eastman Rd
Kingsport, TN 37664-2391
Mailing address
1050 Rosella Dr
White Pine, TN 37890-2504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10910 Kingston Pike
Unit 101
Knoxville, TN 37934-2948
Phone (865) 862-4557
11609 Parkside Dr
Knoxville, TN 37934-2660
Phone (865) 205-9590
5111 Peter Taylor Park Dr
Suite 500
Brentwood, TN 37027-2398
Phone (615) 510-6002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36771 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Express of Tennessee, PC | Current | Accepting new patients | |
| Heartland Infusion | Current | Accepting new patients | |
| Ivxpress Inc | Past | Accepting new patients |
Locations
5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002
7443 Commons Blvd
Ste 114
Chattanooga, TN 37421
Phone (423) 558-0677
1880 N Eastman Rd
Kingsport, TN 37664
Phone (865) 862-4557
2626 E Stone Dr
Ste 2
Kingsport, TN 37660
Phone (423) 815-2665
1880 N Eastman Rd
Ste 150
Kingsport, TN 37664
Phone (865) 862-4557
10910 Kingston Pike
Unit 101
Knoxville, TN 37934
Phone (865) 675-2050
6216 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 243-8100
11609 Parkside Dr
Knoxville, TN 37934
Phone (865) 205-9590
2342 Sandstone Dr
Ste 400
Morristown, TN 37814
Phone (423) 352-4063
2249 Sandstone Dr
Morristown, TN 37814
Phone (423) 352-4063
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Infusion Therapy Pharmacy
- Knoxville, TN
- NPI 1366868135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1376372888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 ROSELLA DR",
"city": "WHITE PINE",
"state": "TN",
"postal_code": "378902504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 N EASTMAN RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642391",
"telephone_number": "865-862-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICA",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "36771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.