Organization Active NPI

Andrew T Mecca MD PC

Doing business as MedCare Family Practice

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1508085135
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036574 Issued in GA
Legal business name
ANDREW T MECCA MD PC
Doing business as
MedCare Family Practice
Medcare
Practice address
5612 Whitesville Rd
Columbus, GA 31904-9031
Phone
(706) 322-2223
Fax
(706) 324-5233
NPI assigned
Apr 24, 2007
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Mr. Andrew T MeccaNPI 1659316362
Title
President
Phone
(706) 322-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036574 GA Primary

Addresses

Primary practice location

5612 Whitesville Rd
Columbus, GA 31904-9031

Mailing address

5612 Whitesville Rd Ste a
Columbus, GA 31904-9031
Phone (706) 322-2223

Other identifiers 1

IdentifierTypeStateIssuer
000540196AMedicaidGA

Other names 2

  • MedCare Family Practice Doing business as
  • Medcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000012 GA Part B Supplier - Clinic/Group Practice 4183610082 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0266689Medcare5612 Whitesville Rd, Columbus, GA 31904Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5612 Whitesville Rd
Ste A
Columbus, GA 31904
Phone (706) 322-2223

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1508085135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T MECCA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "MECCA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-322-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000540196A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.