Individual provider Active NPI

Carole Irene Mercer, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Simpsonville, SC
National Provider Identifier
1851550487
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
30945 Issued in SC
Practice address
312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone
(864) 603-5600
Fax
(864) 603-5601
NPI assigned
Jun 9, 2008
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 30945 SC Primary

Addresses

Primary practice location

312 Harrison Bridge Rd
Simpsonville, SC 29680

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 1

211 Batesville Road
Simpsonville, SC 29681
Phone (864) 272-0388

Other practice location 2

525 Verdae Blvd Suite 200
Greenville, SC 29607
Phone (864) 272-0388

Other practice location 3

201 N. Main Street
Greenville, SC 29601
Phone (864) 603-5600

Other practice location 4

3020 Reidville Road
Suite B
Spartanburg, SC 29301
Phone (864) 272-0388

Other practice location 5

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Other practice location 6

9 Hawthorne Park Ct
Greenville, SC 29615-3194
Phone (864) 603-5600

Other identifiers 1

IdentifierTypeStateIssuer
309455MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000254 SC Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8325204605 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians PastSince May 25, 2021 Accepting new patients

Locations

201 N Main St
Greenville, SC 29601
Phone (864) 603-5600

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

211 Batesville Rd
Simpsonville, SC 29681

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

312 Harrison Bridge Rd
Ste A
Simpsonville, SC 29680

3020 Reidville Rd
#B
Spartanburg, SC 29301
Phone (846) 576-5764

Interoperability endpoints

  • Direct secure messaging: carole.mercer@tribe513.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1851550487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29680",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 BATESVILLE ROAD",
            "address_purpose": "LOCATION",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Verdae Blvd Suite 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29607",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N. Main Street",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29601",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Reidville Road",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "29301",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-613-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Hawthorne Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153194",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCER",
        "first_name": "CAROLE",
        "middle_name": "IRENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "SC",
            "license": "30945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309455",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.