Robert Gordon Merck
Individual provider Active NPI Physician Assistant · Greenville, SC
NPI 1669009478 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1669009478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3536 (SC)
- Practice address
- 905 Verdae Blvd Ste 101
Greenville, SC 29607-4098 - Phone
- (864) 990-1910
- Fax
- (864) 990-1911
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keowee Primary Care and Internal Medicine PC
MH Highlands-Cashiers Medical Center, LLLP
Practice addresses (Care Compare)
109 Carter Park Dr
3A
Seneca, SC 29678-1152
Phone (864) 885-0058
57 White Owl LN
Cashiers, NC 28717-4514
Phone (828) 743-2491
Hospital & facility affiliations
- Transylvania Home Care & Hospice
- Highlands Cashiers Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200915000076 | SC | Practitioner - Physician Assistant | 5395163901 | Reassigns benefits to 3 organizations |
| I20250527002655 | NC | Practitioner - Physician Assistant | 5395163901 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3536 | SC | MD | Dentist |
| MPA.3536 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Highlands-Cashiers Medical Center, LLLP | Current |
Accepting new patients | |
| Woodruff Road Urgent Care Center, P.C. | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current |
Accepting new patients | |
| MH Highlands-Cashiers Medical Center, LLLP | Current |
Accepting new patients | |
| Mountain Area Family Medicine, PA | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current |
Accepting new patients | |
| Bon Secours Ambulatory Services - St. Francis, LLC | Current |
Accepting new patients | |
| Highlands-Cashiers Physician Services, Inc. | Physician Assistant | Current | Accepting new patients |
| Medi Urgent Care Center Inc | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
57 White Owl Ln
Cashiers, NC 28717
Phone (828) 743-2491
1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MPA.3536 | SC | |
| Physician Assistant | 363A00000X | 3536 | SC | Yes |
Addresses
Primary practice location
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8614
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EPIC | Direct |
Other providers in Greenville, SC
- Amanda M. Merchant
- Ayub A Merchant
- Gulzar A Merchant
- Vernon E Merchant III
- Todd David Merchen
- Mercy OB GYN
- Maclaine Garrison Meredith
- William Bradley Meredith
- Christopher Allen Merkel
- Shyrl Ann Merkel
All providers in Greenville, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.