Individual provider Active NPI

Michelle Marie Mercer

  • Student in an Organized Health Care Education/Training Program
  • Savannah, GA
National Provider Identifier
1891436036
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
105055 Issued in GA
Practice address
601 E 66TH St
Savannah, GA 31405-4519
Phone
(912) 226-2206
NPI assigned
Apr 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 105055 GA Primary

Addresses

Primary practice location

601 E 66TH St
Savannah, GA 31405-4519

Mailing address

1005 Riddick LN
Savannah, GA 31407-4059
Phone (330) 256-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260224000209 GA Practitioner - Psychiatry 3375922362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 SW Broad St
Jesup, GA 31545-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105055GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Jan 15, 2026 Accepting new patients
Gateway Community Service Board CurrentSince Jan 15, 2026 Accepting new patients

Locations

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1891436036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 RIDDICK LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314074059",
            "telephone_number": "330-256-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-226-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "105055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.