Active NPI
Mercedes Kamerman, PSYD
- Psychologist
- Dawsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY004052
- Practice address
- 75 Elliott Rd
Dawsonville, GA 30534-8901 - Phone
- (706) 203-1503
- Fax
- (706) 203-1504
- NPI assigned
- Sep 27, 2016
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY004052 | GA | Primary |
Addresses
Primary practice location
75 Elliott Rd
Dawsonville, GA 30534-8901
Mailing address
75 Elliott Rd Ste 220
Dawsonville, GA 30534-8904
Phone (706) 203-1503
Other practice location 1
4073 Highway 53
Hoschton, GA 30548-2305
Phone (770) 882-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Elliott Rd
Suite 220
Dawsonville, GA 30534-8904
Phone (706) 203-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Psychological Services LLC | Current | Accepting new patients | |
| Mercedes Kamerman PSYD LLC | Psychologist | Current | Accepting new patients |
Locations
75 Elliott Rd
Ste 220
Dawsonville, GA 30534
Phone (352) 857-2741
4073 Highway 53
Hoschton, GA 30548
Phone (770) 882-5884
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.
-
dba Psychological Services of North Georgia
- Psychologist
- Dawsonville, GA
- NPI 1508579483
-
- Clinical Psychologist
- Hoschton, GA
- NPI 1407230410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1487103834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ELLIOTT RD STE 220",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305348904",
"telephone_number": "706-203-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ELLIOTT RD",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305348901",
"telephone_number": "706-203-1503",
"fax_number": "706-203-1504"
}
],
"practiceLocations": [
{
"address_1": "4073 Highway 53",
"address_purpose": "LOCATION",
"city": "Hoschton",
"state": "GA",
"postal_code": "305482305",
"country_code": "US",
"telephone_number": "770-882-5884",
"fax_number": "706-658-0116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMERMAN",
"first_name": "MERCEDES",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY004052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- 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.