Individual provider Active NPI

Amanda Lynn Merritt, ANP

  • Adult Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1679801534
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN184377 Issued in GA
Practice address
6602 Waters Ave BLDG C
Savannah, GA 31406-2778
Phone
(912) 354-7676
Fax
(912) 354-6040
NPI assigned
Dec 3, 2009
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN184377 GA Primary

Addresses

Primary practice location

6602 Waters Ave BLDG C
Savannah, GA 31406-2778

Mailing address

6602 Waters Ave BLDG C
Savannah, GA 31406-2778
Phone (912) 354-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100909001098 GA Practitioner - Nurse Practitioner 5698890903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6602 Waters Ave
BLDG C
Savannah, GA 31406-2778
Phone (912) 354-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Neurology Specialists P C CurrentSince Feb 11, 2013 Accepting new patients
Costrini and Meadows PC Past Accepting new patients

Locations

6602 Waters Ave
Bldg C
Savannah, GA 31406
Phone (912) 354-7676

Interoperability endpoints

  • Direct secure messaging: amerritt@sns.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1679801534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN184377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.