Active NPI
Natalie Ann Mercado, PA-C
- Medical Physician Assistant
- Dallas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105515
- Practice address
- 850 Charles Hardy Pkwy
Dallas, GA 30157-3163 - Phone
- (770) 336-8888
- Fax
- (770) 336-7406
- NPI assigned
- Feb 16, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9105515 | FL | Primary |
Addresses
Primary practice location
850 Charles Hardy Pkwy
Dallas, GA 30157-3163
Mailing address
4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 321-1786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009326300 | Medicaid | FL |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 Cogburn Ave NW
Suite 100
Marietta, GA 30060-1008
Phone (770) 422-5557
850 Charles Hardy Pkwy
Dallas, GA 30157-3163
Phone (770) 336-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105515 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Georgia PC | Current | Accepting new patients | |
| Dermatopathology Lab of Skin Cancer Specialists, P.C. | Current | Accepting new patients | |
| Douglas K Pierce MD PA | Past | Accepting new patients |
Locations
850 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 336-8888
835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557
Interoperability endpoints
- nmercado734458@direct.hopkinsmedicine.org
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 and National Provider Directory roles.
-
- Dermatology Physician
- Marietta, GA
- NPI 1114022167
-
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1083044465
-
- Procedural Dermatology Physician
- Largo, FL
- NPI 1053515379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1669779278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335584880",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CHARLES HARDY PKWY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301573163",
"telephone_number": "770-336-8888",
"fax_number": "770-336-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "NATALIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009326300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.