Active NPI
Amy Merrill, NP-C
- Adult Health Nurse Practitioner
- Roanoke, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-086045
- Practice address
- 109 Main St
Roanoke, AL 36274-1729 - Phone
- (334) 710-0470
- Fax
- (334) 710-0469
- NPI assigned
- Dec 29, 2015
- Last updated
- Nov 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN-NP139259 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | 1-086045 | AL | Primary |
Addresses
Primary practice location
109 Main St
Roanoke, AL 36274-1729
Mailing address
204 Allen Memorial Dr Ste 201
Bremen, GA 30110-2062
Phone (770) 537-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 Allen Memorial Dr
Bremen, GA 30110-2062
Phone (770) 537-6500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.51 of 100
- Quality
- 79.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP139259 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medicine Associates, LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| TMC Haralson Family Healthcare Center | Current | Accepting new patients |
Locations
1171 Gatewood Dr
Ste 102
Auburn, AL 36830
Phone (334) 203-1917
2129 Moonbrook Dr
Dadeville, AL 36853
Phone (256) 827-1489
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
109 Main St
Roanoke, AL 36274
Phone (334) 528-2663
204 Allen Memorial Dr
Ste 201
Bremen, GA 30110
Phone (770) 537-6500
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
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.
-
dba Primary Care of Bremen
- Rural Health Clinic/Center
- Bremen, GA
- NPI 1992710610
-
- Family Medicine Physician
- Auburn, AL
- NPI 1407099286
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tanner Health System
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
dba Tanner Health System
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
dba Tanner Health System
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1558726935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ALLEN MEMORIAL DR STE 201",
"city": "BREMEN",
"state": "GA",
"postal_code": "301102062",
"telephone_number": "770-537-6500",
"fax_number": "770-834-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MAIN ST",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362741729",
"telephone_number": "334-710-0470",
"fax_number": "334-710-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "AMY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "APRN-NP139259",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-086045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.