Individual provider Active NPI

Joseph Merriman, M.D.

  • Hematology & Oncology Physician
  • Charlotte, NC
National Provider Identifier
1669714226
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2019-00651 Issued in NC
Practice address
125 Queens Rd Ste 420
Charlotte, NC 28204-3215
Phone
(980) 302-6450
Fax
(980) 302-6455
NPI assigned
Mar 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000055851 TN
Hematology & Oncology Physician 207RH0003X 2019-00651 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 420
Charlotte, NC 28204-3215

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

30 N 1900 E Rm 4C104
Salt Lake City, UT 84132-0002
Phone (801) 581-7606

Other practice location 2

2220 Pierce Ave
Nashville, TN 37232-0002
Phone (615) 875-9731

Other practice location 3

2220 Pierce Ave
Nashville, TN 37232-0002
Phone (615) 875-9731

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmerriman737478@direct.novanthealth.org

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
I20180725003607 TN Practitioner - Internal Medicine 8022238161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

820 N Thompson LN
Murfreesboro, TN 37129-4339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000055851TNMDInternal Medicine Physician
2019-00651NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Jul 1, 2022 Accepting new patients
Tennessee Oncology Past Accepting new patients

Locations

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

322 22nd Ave N
Ste 400
Nashville, TN 37203
Phone (615) 320-5090

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1669714226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "980-302-6450",
            "fax_number": "980-302-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E Rm 4C104",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320002",
            "country_code": "US",
            "telephone_number": "615-875-9731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320002",
            "country_code": "US",
            "telephone_number": "615-875-9731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000055851",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2019-00651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmerriman737478@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 420",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.