Mercy Medical Urgent Care Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MERCY MEDICAL URGENT CARE CENTER

Practice address

2786 W US Highway 90 Ste 105
Lake City, FL 32055-7723

Phone

(386) 758-2944

Fax

(386) 758-9822

NPI assigned

Apr 3, 2014

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mona Floyd

Title

President

Phone

(386) 758-2944

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheri Anne Borchardt, ARNP

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1700337458
  Medicare reassignment Care Compare group NPD
• Jennifer Lyn Bryan, DNP, APRN-C

  • Nurse Practitioner
  • Lake City, FL
  • NPI 1316581879
  Medicare reassignment Care Compare group NPD
• James Joseph Cartwright, ARNP

  • Family Nurse Practitioner
  • Branford, FL
  • NPI 1902341456
  Medicare reassignment Care Compare group NPD
• Carmen S Owens, FNP-C

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1457504052
  Medicare reassignment Care Compare group NPD
• Katherine Denese Williams, APRN

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1871392316
  Medicare reassignment Care Compare group NPD
• Aymee Wilson, ARNP

  • Family Nurse Practitioner
  • Live Oak, FL
  • NPI 1467807347
  Medicare reassignment Care Compare group NPD
• Jeral W Carr, PA-C

  • Physician Assistant
  • Lake City, FL
  • NPI 1326002452
  Medicare reassignment Care Compare group
• Thomas James Croasmun, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1922015031
  Medicare reassignment Care Compare group
• Michael Clay Gilhooly, ARNP

  • Nurse Practitioner
  • Starke, FL
  • NPI 1598771545
  Medicare reassignment NPD
• Haley Mashea Herrin, APRN

  • Primary Care Nurse Practitioner
  • Lake City, FL
  • NPI 1619618519

  Single Specialty

  Medicare reassignment NPD
• Bilal Khodr, M.D.

  • Pediatrics Physician
  • Gainesville, FL
  • NPI 1881653723
  Medicare reassignment NPD
• Brijesh Patel

  • Physician Assistant
  • Gainesville, FL
  • NPI 1487444261
  Medicare reassignment NPD

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1891113064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 W US HIGHWAY 90 STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557723",
            "telephone_number": "386-758-2944",
            "fax_number": "386-758-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 W US HIGHWAY 90 STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557723",
            "telephone_number": "386-758-2944",
            "fax_number": "386-758-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-758-2944"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013907900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B90PP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Mehta, PHARMD
• Melanie Holden, DMD, PLLC
• Matthew Neil Melvin, ARNP
• Grace Elbo Mercurio, A.R.N.P.
• Mercy Home Assisted Living Facility LLC
• Meridan Behavioral Healthcare
• Meridian Behavioral Healthcare
• Meridian Behavioral Healthcare Inc.
• Meridian Behavioral Healthcare, Inc of Lake City
• Meridian Behavioral Healthcare, Inc.

• Urgent Care Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.