Active NPI
Connie K. Mercer, M.D.
- Family Medicine Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME69236
- Practice address
- 201 Lagrande Blvd
Lady Lake, FL 32159-1303 - Phone
- (352) 753-0606
- Fax
- (352) 753-0650
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME69236 | FL | Primary |
Addresses
Primary practice location
201 Lagrande Blvd
Lady Lake, FL 32159-1303
Mailing address
201 Lagrande Blvd
Lady Lake, FL 32159-1303
Phone (352) 753-0606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080112357 | Other | FL | RAILROAD MEDICARE NUMBER |
| 257176500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services IncLegacy Healthcare Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
201 Lagrande Blvd
Lady Lake, FL 32159-1303
Phone (352) 753-0606
8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237
Hospital & facility affiliations
- Concierge Home Care
- Florida Homecare Specialists Inc
- Better @ Home
- Rehab at Home
- Orlando Health South Lake Hospital
- Villages Regional Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Baycare Urgent Care, LLC | Family Medicine | Past | Accepting new patients |
Locations
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
201 Lagrande Blvd
The Villages, FL 32159
Phone (352) 753-0606
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
Family Medicine
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1093884223
-
- Home Health Agency
- The Villages, FL
- NPI 1578728242
-
- Home Health Agency
- Lady Lake, FL
- NPI 1609924265
-
- Home Health Agency
- The Villages, FL
- NPI 1942238506
-
- Home Health Agency
- Leesburg, FL
- NPI 1073905832
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1730128034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LAGRANDE BLVD",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321591303",
"telephone_number": "352-753-0606",
"fax_number": "352-753-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LAGRANDE BLVD",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321591303",
"telephone_number": "352-753-0606",
"fax_number": "352-753-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "CONNIE",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME69236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "080112357",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257176500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.