NPIMap

Individual provider Active NPI

Andrew Thomas Mecca, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1659316362
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036574 Issued in GA
Practice address
5612 Whitesville Rd
Columbus, GA 31904
Phone
(706) 322-2223
Fax
(706) 324-5233
NPI assigned
Jun 17, 2006
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

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

Addresses

Primary practice location

5612 Whitesville Rd
Columbus, GA 31904

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000540196AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000021 GA Practitioner - Family Practice 3173519071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036574GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T Mecca MD PC Family Medicine CurrentSince Feb 6, 2003 Accepting new patients
Andrew T Mecca Urgent Care LLC CurrentSince Mar 3, 2005 Accepting new patients

Locations

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

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

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

Interoperability endpoints

  • Direct secure messaging: andrew.mecca@medcare.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1659316362",
    "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": "31904",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCA",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "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": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.