Active NPI
Mercie Health
- Health Service Clinic/Center
- Powder Springs, GA
National Provider Identifier
1598389637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MERCIE HEALTH
- Practice address
- 3721 New Macland Rd Ste 246
Powder Springs, GA 30127-2000 - Phone
- (770) 835-5305
- Fax
- (587) 200-1005
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sylvia Udokoro Nwakanma, NP
- Title
- Ceo/Medical Provider
- Phone
- (770) 835-5305
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
3721 New Macland Rd Ste 246
Powder Springs, GA 30127-2000
Mailing address
3721 New Macland Rd Ste 246
Powder Springs, GA 30127-2000
Phone (678) 446-4298
National Provider Directory
National Provider DirectoryLocations
3721 New Macland Rd
Ste 246
Powder Springs, GA 30127
Phone (770) 835-5305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599782400000",
"number": "1598389637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 NEW MACLAND RD STE 246",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301272000",
"telephone_number": "678-446-4298",
"fax_number": "587-200-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 NEW MACLAND RD STE 246",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301272000",
"telephone_number": "770-835-5305",
"fax_number": "587-200-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCIE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-04",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "NWAKANMA",
"authorized_official_first_name": "SYLVIA",
"authorized_official_middle_name": "UDOKORO",
"authorized_official_title_or_position": "CEO/MEDICAL PROVIDER",
"authorized_official_telephone_number": "770-835-5305",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.