Active NPI
Caitlin Glen McDonald Mercke, DMD
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1336553726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN015123
- Practice address
- 2859 Paces Ferry Rd SE Ste 530
Atlanta, GA 30339-6221 - Phone
- (678) 355-8980
- NPI assigned
- Jun 13, 2014
- Last updated
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012178A | IN | |
| General Practice Dentistry | 1223G0001X | DN015123 | GA | Primary |
Addresses
Primary practice location
2859 Paces Ferry Rd SE Ste 530
Atlanta, GA 30339-6221
Mailing address
2859 Paces Ferry Rd SE Ste 530
Atlanta, GA 30339-6221
Phone (678) 355-8980
Other practice location 1
2519 E Main St
Suite 102
Richmond, IN 47374-5864
Phone (765) 962-1519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015123 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phdentalpc | General Practice | Past | Accepting new patients |
| Hov Partners, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Atlanta, GA
- NPI 1740726900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1336553726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2859 PACES FERRY RD SE STE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396221",
"telephone_number": "678-355-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 PACES FERRY RD SE STE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396221",
"telephone_number": "678-355-8980"
}
],
"practiceLocations": [
{
"address_1": "2519 E Main St",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473745864",
"country_code": "US",
"telephone_number": "765-962-1519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCKE",
"first_name": "CAITLIN",
"middle_name": "GLEN MCDONALD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012178A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN015123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.