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MERCER MEDICINE LLC NPI 1053481036


NPI Information

NPI: 1053481036
Provider Name: MERCER MEDICINE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D0950391

Address:
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
Phone: (478) 301-2362
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MERCER MEDICINE, LLC is an internal medicine in Macon, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MERCER MEDICINE, LLC NPI is 1053481036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
Phone: (478) 301-2362
Fax: (478) 301-2272

The provider's authorized official is William T Barnes .
The authorized official title is Director Of Operations and has the following contact phone number (478) 301-4111.

The CLIA number assigned to this NPI record is 11D0950391 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/7/2014.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2103TF0000XPsychologistFamilyNo
3104100000XSocial WorkerNo
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8207RI0200XInternal MedicineInfectious DiseaseNo
9207RN0300XInternal MedicineNephrologyNo
10207RP1001XInternal MedicinePulmonary DiseaseNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
122084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
132084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
14207R00000XInternal MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.