Gwendolyn More Mercer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME62603 Issued in FL

Practice address

701 Charles Gilman Jr Ave Ste a
Suite C
Kingsland, GA 31548-5662

Phone

(912) 576-0402

Fax

(912) 729-8821

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Department of Behavioral Health and Developmental Disabilities

  • Psychiatric Hospital
  • Decatur, GA
  • NPI 1124254941
  NPD
• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  NPD
• Sunrise Mental Health Inc

  • Prescribing (Medical) Psychologist
  • Fort Walton Beach, FL
  • NPI 1508046855
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1215002720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CHARLES GILMAN JR AVE STE A",
            "address_2": "SUITE C",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485662",
            "telephone_number": "912-576-0402",
            "fax_number": "912-729-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHARLES GILMAN JR AVE STE A",
            "address_2": "SUITE C",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485662",
            "telephone_number": "912-576-0402",
            "fax_number": "912-729-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "GWENDOLYN",
        "middle_name": "MORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinney Medical Center Inc (McKinney Community Health Center)
• Keli L McMullen, SLP
• Andrea Dee McNutt
• Ciara Meadows, CCC-SLP
• Deborah Melton, RN
• Georgia Diane Messmer, LPC
• John D Michael, RPH
• Mighty Joy Consultants
• Rachel G Mihalik
• Tracy Milstead, LPC

• Psychiatry Physician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.