Mount Gilead

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

603914 Issued in FL

Legal business name

MOUNT GILEAD

Practice address

6817 Southpoint Pkwy
Suite 304
Jacksonville, FL 32216-6282

Phone

(904) 296-3113

Fax

(904) 296-3144

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Carey Merritt, MD

Title

President

Phone

(904) 296-3113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1679868467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT GILEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-296-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "603914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "603914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Theodore Mougeot, PHARMD
• Alyssa Kay Moulds, CAA
• Tiffany Nicole Moulterie, D.C
• Moudcaer S Mounajjed, DO
• Nita Mounce
• Robert David Mouradian, MD
• Brianna Mourao
• Taylor Faith Harbison Mourao, MSN, AGACNP-BC
• Natalie Calvo Moure, APRN, FNP-C
• Omar Mousa, MBBS

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.