NPIMap

Individual provider Active NPI

Heather Merrow, PAC

  • Physician Assistant
  • Supply, NC
National Provider Identifier
1508834045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103587 Issued in NC
Practice address
2930 Holden Beach Rd
Supply, NC 28462
Phone
(910) 842-5991
Fax
(910) 842-5994
NPI assigned
Mar 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103587 NC Primary

Addresses

Primary practice location

2930 Holden Beach Rd
Supply, NC 28462

Mailing address

PO Box 2561
Holden Beach Medical Center
Shallotte, NC 28459
Phone (910) 842-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001311 NC Practitioner - Physician Assistant 7416990791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2930 Holden Beach Rd SW
Supply, NC 28462-5702
Phone (910) 842-5991

2930 Holden Beach SWRD
Supply, NC 28462-5702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103587NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital CurrentSince Oct 1, 2014 Accepting new patients
Holden Beach Medical Center PA Current Accepting new patients
Urgent Care Centers of Carolina, Inc. Past Accepting new patients
Shallotte Medical Center Inc Past Accepting new patients
Shallotte Medical Center Inc Past Accepting new patients
Shallotte Medical Center Inc Past Accepting new patients
Chicora Medical Group PA Past Accepting new patients
Ucb Properties LLC Past Accepting new patients
Chicora Medical Group PA Past Accepting new patients

Locations

2930 Holden Beach Rd SW
Supply, NC 28462
Phone (910) 842-5991

Interoperability endpoints

  • Direct secure messaging: heather.merrow.1@16795.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16795/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508834045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2561",
            "address_2": "HOLDEN BEACH MEDICAL CENTER",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28459",
            "telephone_number": "910-842-5991",
            "fax_number": "910-842-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HOLDEN BEACH RD",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-842-5991",
            "fax_number": "910-842-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERROW",
        "first_name": "HEATHER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.