Shannon Elizabeth Merritt, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN155336 Issued in GA

Practice address

207 Green St
Warner Robins, GA 31093-2727

Phone

(478) 787-4266

Fax

(478) 787-4199

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25178/brand/1/csg/1/fhir/r4

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.

• First Choice Primary Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Macon, GA
  • NPI 1780480830
  NPD
• First Choice Primary Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Macon, GA
  • NPI 1023492162
  NPD (past)
• First Choice Primary Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Warner Robins, GA
  • NPI 1154747590
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1821221045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4363",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084363",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932727",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122615B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mentor Plus Inc.
• Edwina Mercer
• Mercylink, LLC
• Preethi Mereddy, MD
• Bonny Merritt
• Mgo Spine, LLC
• Brittany Michael
• Mirlande Marie Dina Michel
• Mid-South Hearing Aid Center LLC
• Middle Flint Area Community Service Board

• Family Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.