Individual provider Active NPI

Marcie Leann Merritt, N.P.

  • Family Nurse Practitioner
  • Fitzgerald, GA
National Provider Identifier
1699010157
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN176738 Issued in GA
Practice address
182 Perry House Rd
Suite D
Fitzgerald, GA 31750-8721
Phone
(229) 424-7273
NPI assigned
Dec 10, 2012
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN176738 GA Primary

Addresses

Primary practice location

182 Perry House Rd
Suite D
Fitzgerald, GA 31750-8721

Mailing address

PO Box 1447
Fitzgerald, GA 31750-1447
Phone (229) 424-7273

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
I20130115000333 GA Practitioner - Nurse Practitioner 0840443230 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee Emergency Group LLCGroup PAC ID 4880834050, 8 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2262
Phone (912) 383-5641

1221 E McPherson Ave
Nashville, GA 31639-2326
Phone (229) 543-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN176738GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Emergency Group LLC CurrentSince Sep 1, 2019 Accepting new patients
Phoebe Infectious Disease CurrentSince Dec 7, 2012 Accepting new patients
Baldwin Emergency Group, LLC CurrentSince Nov 3, 2021 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 7, 2012 Accepting new patients
Southland-Nashville Emergency Services, LLC CurrentSince Nov 20, 2024 Accepting new patients
Southland-Nashville Emergency Services, LLC. CurrentSince Nov 20, 2024 Accepting new patients
Hightower Emergency Group, PC CurrentSince Jul 10, 2018 Accepting new patients
Southland - Lakeland Medical Services, LLC CurrentSince Nov 20, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Apr 8, 2020 Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Jan 1, 2019 Accepting new patients
Wayne Emergency Group LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

182 Perry House Rd
Ste D
Fitzgerald, GA 31750
Phone (229) 391-3527

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 11

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 1

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1699010157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317501447",
            "telephone_number": "229-424-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 PERRY HOUSE RD",
            "address_2": "SUITE D",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508721",
            "telephone_number": "229-424-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "MARCIE",
        "middle_name": "LEANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitzgerald, GA

Sources for this page

Verify at the official NPI Registry.