DR. TARA ANN MERRITT (NPI# 1891895777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891895777 |
| Entity Type | Individual |
| Full Name | DR. TARA ANN MERRITT |
| Credential | MD |
| Practice Address |
1181 Langford Dr Bldg 200 Suite 101 Watkinsville GA 30677-7242 |
| Mailing Address |
1181 Langford Drive Bldg 200 Suite 101 Watkinsville GA 30677 |
| Practice Telephone | 7068508750 |
| Practice Fax Number | 7068508760 |
| Mailing Telephone | 7068508750 |
| Mailing Fax Number | 7068508760 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 58543 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 58543 | GA | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
58543 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 489449582A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083174353 | Tara Lynn Merritt | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-03-22 |
| Street Address |
1181 LANGFORD DR BLDG 200 SUITE 101 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583477 | Kao, LLC | Clinic/Center | 1181 Langford Dr, Bld 100 Suite 101, Watkinsville, GA 30621 | 2018-06-26 |
| 1992107882 | Kristin Maureen Phillips | Nurse Practitioner | 1181 Langford Dr, Bldg 200, Ste 105, Watkinsville, GA 30677-7242 | 2014-09-23 |
| 1649413055 | Tmb Medical Associates, P.C. | Nurse Practitioner | 1181 Langford Dr, Bldg 200 Ste 105, Watkinsville, GA 30677-7304 | 2009-04-15 |
| 1396937538 | Shenara Austin Sexton, Md, LLC | Dermatology | 1181 Langford Dr, Bldg. 300, Suite 103, Watkinsville, GA 30677 | 2007-08-13 |
| 1780806547 | William David Allen | Dentist | 1181 Langford Dr, Building 100-105, Watkinsville, GA 30677-7242 | 2007-05-02 |
| 1932320702 | Camille Aidan Mcpherson | Obstetrics & Gynecology | 1181 Langford Dr, Bldg 300-101, Watkinsville, GA 30677-7242 | 2007-05-01 |
| 1790853489 | Women's Center of Athens | Obstetrics & Gynecology | 1181 Langford Dr, Bldg 300-101, Watkinsville, GA 30677-7242 | 2006-12-01 |
| 1962570747 | Melissa M Halbach | Obstetrics & Gynecology | 1181 Langford Dr, Watkinsville, GA 30677-7242 | 2006-12-01 |
| 1679581474 | Chris Edward Malone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1181 Langford Dr, Building 300, Suite 104, Watkinsville, GA 30677-7242 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781768 | Ally Nicole Herrington | Pediatrics | 1275 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2020-08-19 |
| 1962845099 | Armand Monsour Scurfield | Pediatrics | 175 White St Nw Ste 200, Marietta, GA 30060-7901 | 2013-04-08 |
| 1225457518 | Ashley Brouillette | Pediatrics | 5445 Meridian Marks Rd Ste 250, Atlanta, GA 30342 | 2014-04-15 |
| 1942527932 | Steven Perry Schulenborg | Pediatrics | 6 Executive Park Dr Ne, Suite 10, Atlanta, GA 30329-2221 | 2010-04-29 |
| 1386837896 | Jerry Stephen Kroll | Pediatrics | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2007-08-20 |
| 1023039807 | Jeffrey W. Webb | Pediatrics | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-21 |
| 1245278159 | Diane Z Weems | Pediatrics | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2006-06-03 |
| 1528040458 | William Angelo Primos Jr. | Pediatrics | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2005-11-16 |
| City | WATKINSVILLE |
| Zip Code | 30677 |
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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.