Individual provider Active NPI

Laura Merriman, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1760023329
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN224100 Issued in GA
Practice address
2325 Log Cabin Dr SE Ste 108
Atlanta, GA 30339-6742
Phone
(770) 648-3462
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 RN224100 GA Primary

Addresses

Primary practice location

2325 Log Cabin Dr SE Ste 108
Atlanta, GA 30339-6742

Mailing address

2325 Log Cabin Dr SE Ste 108
Atlanta, GA 30339-6742

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
I20200911002208 GA Practitioner - Nurse Practitioner 8820416522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 520
Austell, GA 30106-8532
Phone (678) 273-3071

1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338

2890 Delk Serd
Marietta, GA 30067-5326
Phone (770) 955-8620

4480 N Cooper Lake Rd SE
Smyrna, GA 30082-4623

4480 N Cooper Lake Serd
Smyrna, GA 30082-4623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

8901 Stonebridgde Blvd
Suite 100
Douglasville, GA 30134-2253
Phone (943) 202-7100

Merit-based Incentive Payment System (MIPS)

Final score
92.46 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN224100GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Sep 4, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 4, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Temple Medical LLC PastSince Aug 31, 2020 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1760023329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396742",
            "telephone_number": "770-648-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN224100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.