NPIMap

Organization Active NPI

Saint Joseph's Mercy Care Services, Inc.

Doing business as Saint Joseph's Mercy Care CHRIS 180

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
National Provider Identifier
1285277608
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Doing business as
Saint Joseph's Mercy Care CHRIS 180
Practice address
424 Decatur St SE
Atlanta, GA 30312-1848
Phone
(678) 843-8743
NPI assigned
Oct 18, 2019
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Kathryn Marie Lawler
Title
Ceo
Phone
(678) 843-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

424 Decatur St SE
Atlanta, GA 30312-1848

Mailing address

424 Decatur St SE
Atlanta, GA 30312-1848
Phone (678) 843-8600

Other identifiers 2

IdentifierTypeStateIssuer
003240878AMedicaidGA
11-1827OtherGAPENDING

Other names 1

  • Saint Joseph's Mercy Care CHRIS 180 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050516000862 GA Part B Supplier - Clinic/Group Practice 9931191525 Receives reassigned benefits from 62 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA; Chamblee, GA
O20200601001833 GA Part A Provider - Federally Qualified Health Center (FQHC) 9931191525 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285277608. Details of each certification follow.

Federally qualified health center certification: CCN 111125

Legal name
SAINT JOSEPH'S MERCY CARE SERVICES INC
Doing business as
SAINT JOSEPH'S MERCY CARE CHRIS 180
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 1, 2020
Last certification
Jun 1, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
in GA
Enrollment address
1976 Flat Shoals Rd SE
Atlanta, GA 30316-2857

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Central Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1135 Jefferson St NW
Atlanta, GA 30318
Phone (678) 843-8500

1976 Flat Shoals Rd SE
Atlanta, GA 30316
Phone (404) 291-7293

1976 Flat Shoals Rd SE
Ste B
Atlanta, GA 30316
Phone (404) 952-1201

200 Hannover Park Rd
Ste 200
Atlanta, GA 30350

201 Washington St SW
Atlanta, GA 30303
Phone (404) 880-3575

655 Ethel St NW
Atlanta, GA 30318
Phone (678) 843-8500

740 Marietta St NW
Atlanta, GA 30318

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erica Stokes Individual Corporate OfficerVice President of Finance Jan 26, 2005 50%
W-2 Managing EmployeeVP of Finance Jan 1, 2012 50%
Charles Alan Bradford Individual Corporate OfficerPresident Jul 30, 2012 50%
W-2 Managing EmployeePresident Jul 30, 2012 50%

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1285277608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121848",
            "telephone_number": "678-843-8600",
            "fax_number": "678-843-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121848",
            "telephone_number": "678-843-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH'S MERCY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-843-8743"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003240878A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "11-1827",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph's Mercy Care CHRIS 180",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.