Maci Merritt, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Ocilla, GA
NPI 1689110496 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1689110496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN160620 (GA)
- Practice address
- 202 S Cherry St
Ocilla, GA 31774-1804 - Phone
- (229) 468-5015
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Gastroenterologyand Hepatology Consultants Inc
Practice addresses (Care Compare)
300 Shirley Ave
Douglas, GA 31533-2332
Phone (912) 384-7275
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20190113000005 | GA | Practitioner - Nurse Practitioner | 3274879291 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Gastroenterology& Hepatology Consultants Inc | Current |
Accepting new patients |
Locations
300 Shirley Ave
Douglas, GA 31533
Phone (912) 384-7275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN160620 | GA | Yes |
Addresses
Primary practice location
202 S Cherry St
Ocilla, GA 31774-1804
Mailing address
202 S Cherry St
Ocilla, GA 31774-1804
Phone (229) 468-5015
Other providers in Ocilla, GA
- Irwin County Hospital
- Irwin Specialty Centers LLC
- Stepheny Natasha Meyokee Lott Jones
- Howard C McMahan
- Antonio McRoy
- Hayden Nelms
- Ocilla Pharmacy, Inc.
- Ocilla Pharmacy, Inc.
- Osceola Health Care, Inc
- Dana P Paulk
All providers in Ocilla, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. 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.