Individual provider Active NPI

Merry Stephenson Roy, A.R.N.P.

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1699877142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000007783 Issued in TN
Practice address
9200 Middlebrook Pike
Knoxville, TN 37931-4701
Phone
(865) 824-4279
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 APN0000007783 TN Primary

Addresses

Primary practice location

9200 Middlebrook Pike
Knoxville, TN 37931-4701

Mailing address

2759 Octavia Way
Mascot, TN 37806-1827
Phone (865) 406-4630

Other names 1

  • Merry Carol Stephenson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000350 TN Practitioner - Nurse Practitioner 4981799632 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7783TNMDPhysical Therapy Assistant
APN0000007783TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Health Management Inc. CurrentSince Jun 25, 2020 Accepting new patients
DX Mso, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 31, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 31, 2024 Accepting new patients
Vitas Solutions Inc Past Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Sep 12, 2023 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

6108 Kingston Pike
Knoxville, TN 37919
Phone (423) 458-1426

2732 US Highway 411 S
Maryville, TN 37801
Phone (865) 681-5277

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699877142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 OCTAVIA WAY",
            "city": "MASCOT",
            "state": "TN",
            "postal_code": "378061827",
            "telephone_number": "865-406-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314701",
            "telephone_number": "865-824-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MERRY",
        "middle_name": "STEPHENSON",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRY",
            "last_name": "STEPHENSON",
            "middle_name": "CAROL",
            "credential": "A.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.