AMANDA CARVER MERRITT (NPI# 1760862346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760862346 |
| Entity Type | Individual |
| Full Name | AMANDA CARVER MERRITT |
| Credential | NP |
| Practice Address |
640 Main St N Pearson GA 31642 |
| Mailing Address |
204 E 4th St Ocilla GA 31774-1539 |
| Practice Telephone | 9124223131 |
| Practice Fax Number | 9124223180 |
| Mailing Telephone | 2294689166 |
| Mailing Fax Number | 2294689188 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN201661 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0003161765A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750915245 | Amanda Merritt | Behavior Technician | 950a Union Rd, West Seneca, NY 14224-3465 | 2020-02-24 |
| 1811351521 | Amanda Merritt | Social Worker | 8250 N Grand Canyon Dr, Unit 2009, Las Vegas, NV 89166-3725 | 2016-04-08 |
| 1679801534 | Amanda Lynn Merritt | Nurse Practitioner | 6602 Waters Ave Bldg C, Savannah, GA 31406-2778 | 2009-12-03 |
| 1164584207 | Amanda S Merritt | Dentist | 171 Perry House Rd, Fitzgerald, GA 31750-8837 | 2006-12-14 |
| 1689754723 | Amanda Morrell Merritt | Dentist | 1441 N Point Ln, Mount Pleasant, SC 29464-4624 | 2006-10-16 |
| Street Address |
640 MAIN ST N |
| City | PEARSON |
| State | GA |
| Zip Code | 31642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558445742 | South Central Primary Care Center, Inc. | Clinic/Center | 640 Main St N, Pearson, GA 31642 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528201936 | Asf Medical Center Inc | Emergency Medicine | 640 Main St North, Pearson, GA 31642 | 2009-04-15 |
| 1063657617 | Beverly Dianne Robertson | Registered Nurse | 636 A E. Austin Ave, Pearson, GA 31642 | 2008-12-11 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1750443263 | Atkinson County Board of Education | Registered Nurse | 98 East Roberts Ave., Pearson, GA 31642 | 2006-12-14 |
| 1578632931 | Boones Pharmacy, Inc. | Pharmacist | 37 Albany Ave E, Pearson, GA 31642 | 2006-11-07 |
| 1518062199 | Stephen Marcel Burt | General Practice | 1111 Highway 441 North, Pearson, GA 31642 | 2006-09-14 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1962483867 | Ware Visiting Nurses Service, Inc | Home Health | 380 East Roberts St, Pearson, GA 31642 | 2005-11-08 |
| 1255895553 | Donna Kenyattia Wells | Contractor | 214 Broughton St, Pearson, GA 31642-7044 | 2019-01-31 |
| Find all providers in zip 31642 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.