THE CORPORATION OF MERCER UNIVERSITY NPI 1174693162

NPI Information

NPI: 1174693162
Provider Name: THE CORPORATION OF MERCER UNIVERSITY

Former Legal Business Name: MERCER HEALTH SYSTEMS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
Phone: (478) 301-4111
Get Directions

THE CORPORATION OF MERCER UNIVERSITY is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THE CORPORATION OF MERCER UNIVERSITY NPI is 1174693162. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mercer Health Systems.

The provider's business location address is:

250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201-490
Phone: (478) 301-4111
Fax: (478) 301-2272

The provider's authorized official is Charles Duffey .
The authorized official title is Coo and has the following contact phone number (478) 301-2362.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 1/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	No
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
4	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
5	2084P2900X	Psychiatry & Neurology	Pain Medicine	No
6	101YM0800X	Counselor	Mental Health	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	No
8	103TC2200X	Psychologist	Clinical Child & Adolescent	No
9	104100000X	Social Worker		No
10	207R00000X	Internal Medicine		No
11	207RC0000X	Internal Medicine	Cardiovascular Disease	No
12	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
13	207RI0200X	Internal Medicine	Infectious Disease	No
14	207RN0300X	Internal Medicine	Nephrology	No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CC1498	OTHER		RAILROAD MEDICARE
2	300018450U	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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