Mercy Healthcare, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

049349 Issued in GA

Legal business name

MERCY HEALTHCARE, INC

Practice address

945 Linsley Way
Stone Mountain, GA 30087-6083

Phone

(404) 933-8501

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Anishua M Roberts

Title

Billing Manager

Phone

(404) 933-8501

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel O Teniola, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1518965938
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1093197824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 LINSLEY WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 LINSLEY WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876083",
            "telephone_number": "404-933-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANISHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-933-8501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000891514B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin A Melroy, CST, CFA
• Sherrie Melton
• Memorial Drive Family Medicine P.C
• Jenna Danielle Mercer, CF-SLP, M.ED.
• Merciful Hands
• Meridian Healthcare Services Inc
• Morgan Merriweather
• Metro Ambulance Services Inc
• Metro Atlanta Womens Health Specialist
• Metro Dekalb Dental Group

• Internal Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.