Individual provider Active NPI

Audrea Merchant, MD

  • Psychiatry Physician
  • Oak Ridge, TN
National Provider Identifier
1457457475
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200301264 Issued in NC
Practice address
240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone
(865) 482-1076
Fax
(865) 481-6166
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200301264 NC Primary

Addresses

Primary practice location

240 W Tyrone Rd
Oak Ridge, TN 37830-6517

Mailing address

665 Emory Valley Rd # B
Oak Ridge, TN 37830-7762
Phone (865) 483-3434

Other practice location 1

665 Emory Valley Rd # B
Oak Ridge, TN 37830-7762
Phone (865) 483-3434

Other identifiers 1

IdentifierTypeStateIssuer
891370NMedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000524 TN Practitioner - Psychiatry 8628052008 Practice locations: Oak Ridge, TN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Duke University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

665 B Emory Valley Rd
Oak Ridge, TN 37830-7762
Phone (865) 483-3434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48094TNMDPharmacist
200301264NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Mental Health Center Past Accepting new patients

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1457457475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 EMORY VALLEY RD # B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307762",
            "telephone_number": "865-483-3434",
            "fax_number": "865-483-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306517",
            "telephone_number": "865-482-1076",
            "fax_number": "865-481-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Emory Valley Rd # B",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378307762",
            "country_code": "US",
            "telephone_number": "865-483-3434",
            "fax_number": "865-483-6697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "AUDREA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200301264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891370N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.