Individual provider Active NPI

Asheia Renee' Merritt, FNP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1811797236
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
324316 Issued in GA
Practice address
1401 Johnson Ferry Rd Ste 390
Marietta, GA 30062-9100
Phone
(470) 250-1492
NPI assigned
Mar 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 324316 GA Primary

Addresses

Primary practice location

1401 Johnson Ferry Rd Ste 390
Marietta, GA 30062-9100

Mailing address

1850 Howell Mill Rd NW Apt 703
Atlanta, GA 30318-3247

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
I20250324001207 GA Practitioner - Nurse Practitioner 1052833670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bold Legacy Practice, LLCGroup PAC ID 5799140430, 3 clinicians
Bold Primary LLCGroup PAC ID 6406298249, 4 clinicians
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1401 Johnson Ferry Rd
Suite 390
Marietta, GA 30062-9100
Phone (470) 795-0047

1401 Johnson Ferry Rd
Suite 390B
Marietta, GA 30062-6495
Phone (470) 250-1492

191 S Marietta Pkwy SW
Marietta, GA 30064-3291
Phone (404) 939-4979

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

4125 Marietta Hwy
Suite 103
Canton, GA 30114-8318
Phone (678) 626-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
324316GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bold Legacy Practice, LLC CurrentSince Mar 1, 2025 Accepting new patients
Bold Primary LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1401 Johnson Ferry Rd
Ste 390
Marietta, GA 30062
Phone (470) 250-1492

1401 Johnson Ferry Rd
Ste 390B
Marietta, GA 30062
Phone (470) 250-1492

Organizations & group practices 3

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1811797236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HOWELL MILL RD NW APT 703",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 390",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629100",
            "telephone_number": "470-250-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "ASHEIA",
        "middle_name": "RENEE'",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "324316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.