MEDICARE: CARRIE HALL MERRITT PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	TL 1664	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	NCB656A	OTHER	NC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1013204148	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1013204148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE HALL MERRITT PA

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	336-766-0547
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 STADIUM OAKS DR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8962
Country	:	US
Telephone Number	:	336-766-0547
Fax Number	:	366-766-0549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2011
Last Update Date	:	10/28/2020

Similar Medicare Providers

1760485486 — CHRISTOPHER JOHN WARNIMONT MD
Practice Location Address:

105 STADIUM OAKS DR
CLEMMONS, NC
27012-8962

Practice Phone: 336-766-0547
Practice Fax: 336-766-0549

1750384343 — PAUL KENT DAVIS PA-C
Practice Location Address:

105 STADIUM OAKS DR
CLEMMONS, NC
27012-8962

Practice Phone: 336-766-0547
Practice Fax: 336-766-0549

1891828562 — FORSYTH MEMORIAL HOSPITAL, INC
Practice Location Address:

105 STADIUM OAKS DR
CLEMMONS, NC
27012-8962

Practice Phone: 336-766-0547
Practice Fax:

1215198155 — JOHN ROUSE WEATHERS M.D.
Practice Location Address:

105 STADIUM OAKS DR
CLEMMONS, NC
27012-8962

Practice Phone: 336-766-0547
Practice Fax: 336-766-0549

1689001125 — CORNERSTONE HEALTH CARE PA
Practice Location Address:

197 STADIUM OAKS DR , SUITE A
CLEMMONS, NC
27012-8962

Practice Phone: 336-765-0710
Practice Fax: 336-765-0821

1992019566 — MRS. ANDREA DAWN STOKES UNDERWOOD DNP, FNP-C
Practice Location Address:

3163 GAMMON LN
CLEMMONS, NC
27012-9052

Practice Phone: 336-310-5571
Practice Fax: 336-310-5574

Directions to “ CARRIE HALL MERRITT PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.