JAMES CHRISTOPHER MERRITT MD
NPI 1649332420
Internal Medicine - Cardiovascular Disease in Rome, GA

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
591 REDMOND RD NW STE 103, ROME, GA 30165(706) 368-8500(706) 307-4613 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Aug 28, 2023, Jun 22, 2023 and 2 more (5 updates tracked since 2018).

About James Christopher Merritt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES CHRISTOPHER MERRITT MD (NPI 1649332420) is an individual cardiovascular disease provider in Rome, Georgia, licensed in Georgia (053270) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Emory University School Of Medicine (1997).

NPPES Registry Identity

NPI1649332420
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES CHRISTOPHER MERRITTCredential: MD
Location Address591 REDMOND RD NW STE 103Rome, GA 30165-1415
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Fax(706) 307-4613
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1997
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1649332420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 053270
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

591 REDMOND RD NW STE 103, Rome, GA 30165

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Christopher Merritt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668452418
PECOS Enrollment IDI20040722000309
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
356 services287 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
352 services333 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
323 services317 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services282 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services106 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
154 services140 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Atrium Health Floyd Polk Medical Center

Critical Access Hospitals · Cedartown, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111330
Location2360 Rockmart HighwayCedartown, GA 30125 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,998 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%4,605 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%367 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%2,449 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%2,506 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 421 patients
89%422 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,449 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%2,449 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%2,449 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
591 REDMOND RD NW STE 103
ROME, GA 30165
Nurse Practitioner
591 REDMOND RD NW STE 103
ROME, GA 30165
Physician Assistant
591 REDMOND RD NW STE 103
ROME, GA 30165
Nurse Practitioner
591 REDMOND RD NW STE 103
ROME, GA 30165
Physician Assistant
591 REDMOND RD NW STE 103
ROME, GA 30165
Internal Medicine (Cardiovascular Disease)
591 REDMOND RD NW STE 103
ROME, GA 30165
Internal Medicine (Cardiovascular Disease)
591 REDMOND RD NW STE 103
ROME, GA 30165
Internal Medicine (Cardiovascular Disease)
591 REDMOND RD NW STE 103
ROME, GA 30165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Merritt's NPI number?

The NPI number for James Merritt is 1649332420. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is James Merritt located?

James Merritt practices at 591 Redmond Rd NW Ste 103, Rome, GA 30165. The listed phone number is (706) 368-8500.

What is James Merritt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Merritt enrolled in Medicare?

Yes. James Merritt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Merritt accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list James Merritt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Merritt affiliated with any hospitals?

According to CMS data, James Merritt is affiliated with Adventhealth Gordon, Adventhealth Murray, Atrium Health Floyd Medical Center, Redmond Regional Medical Center and Atrium Health Floyd Polk Medical Center.

When was this NPI record last updated?

The NPPES record for James Merritt was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.