Mercy Medical, a Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

11712 Issued in AL

Legal business name

MERCY MEDICAL, A CORPORATION

Practice address

374 Greeno Rd S
Fairhope, AL 36532-1916

Phone

(251) 621-4431

Fax

(251) 621-4896

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Necie Borroni

Title

Cfo/Executive Director

Phone

(251) 459-6454

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1174587067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-621-4431",
            "fax_number": "251-621-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL, A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BORRONI",
        "authorized_official_first_name": "NECIE",
        "authorized_official_title_or_position": "CFO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-459-6454"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "11712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MER7034A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR NUMBER",
            "identifier": "017034",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL PROVER NUMBER",
            "identifier": "51535174",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER NUM",
            "identifier": "9245",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER NUM",
            "identifier": "51041160",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan B Melton, D.M.D
• Judson K Menefee, MD
• Menm, LLC
• Jo Ann Mercer, CRNA
• Tiffany Amber Merchant, CRNP
• Mercy Medical, a Corporation
• Gregory W Merritt, MD
• Margaret Claire Meyers, MD
• Tambra Shiver Middleton, CRNP
• Miles F Jones & Scott Coleman DMD PA

• Home Health Agency in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.