Individual provider Active NPI

Amy Merrill, NP-C

  • Adult Health Nurse Practitioner
  • Roanoke, AL
National Provider Identifier
1558726935
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-086045 Issued in AL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160317001738 GA Practitioner - Nurse Practitioner 5698072684 Reassigns benefits to 2 organizations
I20210520002270 AL Practitioner - Nurse Practitioner 5698072684 Reassigns benefits to 1 organization

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
TMC Haralson Family Healthcare CenterGroup PAC ID 8729997846, 4 clinicians

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 100Reported as group
Quality
79.01
Promoting interoperability
99
Improvement activities
40
Cost
73.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP139259GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medicine Associates, LLC CurrentSince May 1, 2021 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jan 29, 2016 Accepting new patients
TMC Haralson Family Healthcare Center CurrentSince May 12, 2025 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.

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": "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

Verify at the official NPI Registry.