Individual provider Active NPI

Jennifer Holland Merritt, M.D.

  • Ophthalmology Physician
  • Little River, SC
National Provider Identifier
1710050471
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23960 Issued in SC
Practice address
90 Cedar Light LN
Little River, SC 29566-6978
Phone
(843) 280-8779
Fax
(843) 280-6669
NPI assigned
Nov 17, 2006
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23960 SC Primary

Addresses

Primary practice location

90 Cedar Light LN
Little River, SC 29566-6978

Mailing address

4237 River Hills
Suite 100
Little River, SC 29566
Phone (843) 280-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050803001126 SC Practitioner - Ophthalmology 5597793166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Group, P.C.Group PAC ID 2466434717, 10 clinicians

Practice addresses (Care Compare)

90 Cedar Light LN
Little River, SC 29566-6978
Phone (843) 280-8779

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology Current Accepting new patients
Coastal Eye Group, PC Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
Carolina Regional Surgery Center. LTD PastSince Apr 30, 2003 Accepting new patients

Locations

1200 Highmarket St
Ste 200
Georgetown, SC 29440
Phone (803) 546-8421

4237 River Hills Dr
Ste 100
Little River, SC 29566
Phone (843) 366-3030

90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779

4055 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-3937

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jmerritt@ceg.intellechartdirect.net

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1710050471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS",
            "address_2": "SUITE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "29566",
            "telephone_number": "843-280-8779",
            "fax_number": "843-280-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CEDAR LIGHT LN",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666978",
            "telephone_number": "843-280-8779",
            "fax_number": "843-280-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "JENNIFER",
        "middle_name": "HOLLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "23960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.