Individual provider Active NPI

Sonia S Merchant

  • Family Medicine Physician
  • Greenville, MS
National Provider Identifier
1447833769
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-4418 Issued in MS
Practice address
300 S Washington Ave
Greenville, MS 38701-4719
Phone
(662) 725-1384
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T-4418 MS Primary

Addresses

Primary practice location

300 S Washington Ave
Greenville, MS 38701-4719

Mailing address

300 S Washington Ave
Greenville, MS 38701-4719
Phone (662) 725-1384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240830001102 NJ Practitioner - Family Practice 7517406804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Hospitalists Associates PAGroup PAC ID 2567789019, 25 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-4418MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Hospitalists Associates PA CurrentSince Sep 3, 2024 Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1447833769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014719",
            "telephone_number": "662-725-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014719",
            "telephone_number": "662-725-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "SONIA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.