Individual provider Active NPI

Mercy S Gonzalez Perez, DO

  • Chiropractor
  • Covington, GA
National Provider Identifier
1376236026
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010814 Issued in GA
Practice address
2125 Pace St Ste B
Covington, GA 30014-6660
Phone
(770) 786-2818
Fax
(844) 760-0502
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010814 GA Primary

Addresses

Primary practice location

2125 Pace St Ste B
Covington, GA 30014-6660

Mailing address

2125 Pace St Ste B
Covington, GA 30014-6660
Phone (770) 786-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230619000815 GA Practitioner - Chiropractic 3476911769 Reassigns benefits to 1 organization
I20260528000365 FL Practitioner - Chiropractic 3476911769

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington Family Chiropractic LLCGroup PAC ID 3577881127, 4 clinicians

Practice addresses (Care Compare)

2125 Pace St
Covington, GA 30014-6659
Phone (770) 786-2818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CHIR010814GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Family Chiropractic LLC Chiropractor CurrentSince May 30, 2023 Accepting new patients

Locations

2125 Pace St
Ste B
Covington, GA 30014
Phone (770) 689-6987

2125 Pace St
Covington, GA 30014
Phone (770) 689-6987

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1376236026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PACE ST STE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146660",
            "telephone_number": "770-786-2818",
            "fax_number": "844-760-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PACE ST STE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146660",
            "telephone_number": "770-786-2818",
            "fax_number": "844-760-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "MERCY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.