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ANDREW T MECCA MD PC NPI 1508085135


NPI Information

NPI: 1508085135
Provider Name: ANDREW T MECCA MD PC

Doing Business As: MEDCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0266689

Address:
5612 WHITESVILLE RD
COLUMBUS, GA
ZIP 31904
Phone: (706) 322-2223
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ANDREW T MECCA MD PC is a family medicine in Columbus, 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. ANDREW T MECCA MD PC NPI is 1508085135. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medcare.

The provider's business location address is:

5612 WHITESVILLE RD
COLUMBUS, GA
ZIP 31904-031
Phone: (706) 322-2223
Fax: (706) 324-5233

The provider's authorized official is Andrew T Mecca .
The authorized official title is President and has the following contact phone number (706) 322-2223.

The CLIA number assigned to this NPI record is 11D0266689 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/9/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036574GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000540196AMEDICAIDGEORGIA

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

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