Individual provider Active NPI

Edgar Antonio Mercado, M.D

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1821244039
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME135768 Issued in FL
Practice address
1120 15TH St
Af 2039
Augusta, GA 30912-0004
Phone
(706) 721-6016
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME135768 FL Primary

Addresses

Primary practice location

1120 15TH St
Af 2039
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Af 2039
Augusta, GA 30912-0004
Phone (706) 721-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, CT, DE, NY, OH, SC, IN, PA, IL, VA11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20150623001159 GA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5092026625 Reassigns benefits to 2 organizations
I20190917000699 FL Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization
I20231207003293 CT Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization
I20231211000586 DE Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization
I20240118003662 NY Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization
I20240223002254 OH Practitioner - Critical Care (Intensivists) 5092026625 Reassigns benefits to 1 organization
I20240304003096 SC Practitioner - Critical Care (Intensivists) 5092026625 Reassigns benefits to 1 organization
I20240719002569 IN Practitioner - Critical Care (Intensivists) 5092026625 Reassigns benefits to 1 organization
I20240802001662 PA Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization
I20250529003837 IL Practitioner - Critical Care (Intensivists) 5092026625 Reassigns benefits to 1 organization
I20250620000023 VA Practitioner - Internal Medicine 5092026625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians
Sound Physicians Intensivists of South Carolina LLCGroup PAC ID 4385079060, 10 clinicians
Critical Care Physicians of Illinois LLCGroup PAC ID 7012179294, 41 clinicians
Sound Physicians Intensivists of Georgia PCGroup PAC ID 5193138634, 20 clinicians
Hospitalist Medicine Physicians of Ohio - Fairfield Professional CorGroup PAC ID 1456706886, 16 clinicians
Sunergy Physicians LLCGroup PAC ID 0547672776, 8 clinicians
Hospitalist Medicine Physicians of Delaware, PAGroup PAC ID 2062679772, 33 clinicians

Practice addresses (Care Compare)

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (866) 212-7753

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5000

3333 W Deyoung St
Heartland Regional
Marion, IL 62959-5884
Phone (618) 998-7000

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8000

4820 5TH Ave N
St Petersburg, FL 33713-7218
Phone (727) 280-5767

640 S State St
Bayhealth Hospital Kent Campus
Dover, DE 19901-3530
Phone (302) 674-4700

801 N State St
Greenfield, IN 46140-1270
Phone (317) 462-5544

Hospital & facility affiliations

  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135768FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Connecticut - TCS Single Specialty CurrentSince Nov 17, 2023 Accepting new patients
Au Medical Associates Inc Single Specialty CurrentSince Jul 1, 2015 Accepting new patients
Sunergy Physicians LLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor Single Specialty CurrentSince Jan 9, 2024 Accepting new patients
Sound Physicians Intensivists of Georgia PC Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Single Specialty CurrentSince Mar 8, 2025 Accepting new patients
Hospitalist Medicine Physicians of Delaware, PA Single Specialty CurrentSince Nov 6, 2023 Accepting new patients
Critical Care Physicians of Pennsylvania PC Single Specialty CurrentSince Jul 21, 2024 Accepting new patients
Au Medical Associates Inc Single Specialty CurrentSince Jul 1, 2015 Accepting new patients
Critical Care Physicians of Illinois LLC Single Specialty CurrentSince May 13, 2024 Accepting new patients
Au Medical Center, Inc Single Specialty Current Accepting new patients
Critical Care Physician of New York PC Single Specialty CurrentSince Dec 4, 2023 Accepting new patients
Sound Physicians Intensivists of South Carolina LLC Single Specialty CurrentSince Jan 22, 2024 Accepting new patients
Cogent Healthcare of Georgia PC Single Specialty Past Accepting new patients

Locations (25 of 27)

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

640 S State St
Dover, DE 19901
Phone (302) 744-4700

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

5260 78th Ave N
Unit 2616
Pinellas Park, FL 33780

5800 49th St N
Ste 208
St Petersburg, FL 33709
Phone (727) 280-5767

7111 1st Ave S
St Petersburg, FL 33707
Phone (727) 345-1313

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

4820 5th Ave N
St Petersburg, FL 33713
Phone (727) 321-6768

1120 15th St
#2039
Augusta, GA 30912
Phone (706) 721-6016

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: emercado3201396@direct.trinity-health.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1821244039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "AF 2039",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "AF 2039",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "EDGAR",
        "middle_name": "ANTONIO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.