Mercy Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY MEDICAL SUPPLIES LLC

Practice address

140 S Atlantic Ave Ste 203
Ormond Beach, FL 32176-6653

Phone

(904) 476-3305

Fax

(904) 476-3305

NPI assigned

Mar 7, 2025

Last updated

Dec 8, 2025By 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

Donna M Chang Jaccobi, RN

Title

Employee

Phone

(904) 476-3305

Specialties & licenses 1

Addresses

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.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Donna M Chang, RN

  • Critical Care Medicine Registered Nurse
  • Jacksonville Beach, FL
  • NPI 1528886637
  NPD

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1912706565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320040491",
            "telephone_number": "904-476-3305",
            "fax_number": "904-476-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ATLANTIC AVE STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766653",
            "telephone_number": "904-476-3305",
            "fax_number": "904-476-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "CHANG JACCOBI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "904-476-3305",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Health Systems Inc
• Memorial Health Systems Inc (Adventhealth Imaging Ormond Beach)
• Memorial Health Systems Inc.
• Memorial Health Systems Inc. (Florida Hospital Memorial & Medical Center & FH Oceanside)
• Memorial Hospital-West Volusia Inc (AdventHealth DeLand)
• Merit Medical Services, Inc
• Metcare of Ormond Beach
• Metcare Oncology
• Metcare RX Ormond Beach Pharmaceutical Services, LLC
• Metfusion, LLC

• Durable Medical Equipment & Medical Supplies in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.