Jason R Mercer MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JASON R MERCER MD PA

Practice address

801 Beville Rd
Suite 201
South Daytona, FL 32119-1860

Phone

(386) 322-5200

Fax

(386) 767-0062

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason Reed Mercer, M.D.NPI 1962596437

Title

Physician/Owner

Phone

(386) 322-5200

Specialties & licenses 1

Addresses

Other names 1

• Signature Healthcare of Volusia Doing business as

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Reed Mercer, M.D.

  • Family Medicine Physician
  • South Daytona, FL
  • NPI 1962596437
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1891967089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BEVILLE RD",
            "address_2": "SUITE 201",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191860",
            "telephone_number": "386-322-5200",
            "fax_number": "386-767-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BEVILLE RD",
            "address_2": "SUITE 201",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191860",
            "telephone_number": "386-322-5200",
            "fax_number": "386-767-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R MERCER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "386-322-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare of Volusia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Injury Health Center
• Yusuf M Ismail, RPH
• Anquanette Jackson
• Corey E Jackson
• Rosita Jahankhani
• Jordan Jenkins
• John W. Sloane, DMD
• Donny John, RPH
• Tiesha Tamara Johnson, RN
• Lisa Jones-Moore

• Family Medicine Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.