Individual provider Active NPI

Dan Mertig

  • Counselor
  • Savannah, GA
National Provider Identifier
1861860520
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
006834 Issued in GA
Practice address
38 Bimini Dr
Savannah, GA 31419-7205
Phone
(912) 373-6348
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 006834 GA Primary

Addresses

Primary practice location

38 Bimini Dr
Savannah, GA 31419-7205

Mailing address

38 Bimini Dr
Savannah, GA 31419-7205
Phone (912) 373-6348

Other identifiers 1

IdentifierTypeStateIssuer
1194063305MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006834GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Mertig Consulting LLC Past Accepting new patients

Organizations & group practices 1

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1861860520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BIMINI DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314197205",
            "telephone_number": "912-373-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BIMINI DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314197205",
            "telephone_number": "912-373-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTIG",
        "first_name": "DAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "006834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194063305",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.