Individual provider Active NPI

Donald Mercado

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1063167500
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015767 Issued in GA
Practice address
4510 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone
(770) 945-1045
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015767 GA Primary

Addresses

Primary practice location

4510 Nelson Brogdon Blvd
Buford, GA 30518-3478

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (423) 238-3473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216001324 GA Practitioner - Physical Therapist in Private Practice 3072906973 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

10800 Alpharetta Hwy
Suite 176
Roswell, GA 30076-1463
Phone (678) 681-1060

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

2850 Holcomb Bridge Rd
Suite 140a
Alpharetta, GA 30022-1658
Phone (678) 585-7921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015767GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Feb 11, 2022 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jun 23, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jun 23, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2850 Holcomb Bridge Rd
Ste 140A
Alpharetta, GA 30022
Phone (678) 585-7921

5815 Windward Pkwy
Ste 208
Alpharetta, GA 30005
Phone (678) 566-8091

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

4510 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 945-1045

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

155 Medical Way
Ste A
Riverdale, GA 30274
Phone (770) 991-2747

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1063167500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183478",
            "telephone_number": "770-945-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.