MERCUER UNIVERSITY SCHOOL OF MEDICINE (NPI# 1417342072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417342072 |
| Entity Type | Organization |
| Organization Name | MERCUER UNIVERSITY SCHOOL OF MEDICINE |
| Practice Address |
1550 College St Macon GA 31207-1500 |
| Practice Telephone | 4783012600 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | MARCUS WELDON (STUDENT) |
| Authorized Official Telephone | 7705840957 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
1550 COLLEGE ST |
| City | MACON |
| State | GA |
| Zip Code | 31207-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
| 1225635220 | Nina Navalkar | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-10-03 |
| 1255949640 | Jennifer L Stang | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-07-21 |
| 1750910865 | Kishan Ajit Patel | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-04-02 |
| 1134758220 | John Ryan Curcuru | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-04-02 |
| 1104464841 | Kaylyn Bell | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-12 |
| 1104464981 | Nicholas B Drury | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-12 |
| 1275171001 | John Peter Polites | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-11 |
| 1205484524 | Thomas Augustin Scofield | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-08-29 |
| 1053969782 | Philip Chung | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
| 1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
| 1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
| 1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
| 1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
| 1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
| 1285747642 | Kristin Elizabeth Bourque | Specialist/Technologist | 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001 | 2006-08-17 |
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| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235598095 | Select Specialty Hospital - Midtown Atlanta, LLC | Long Term Care Hospital | 705 Juniper St Ne, Ne, Atlanta, GA 30308-1307 | 2016-02-22 |
| 1801269618 | Drayton Medical Care Inc | Long Term Care Hospital | 326 Nelson St Sw, Atlanta, GA 30313-1349 | 2015-11-03 |
| 1740452820 | Landmark Hospital of Athens, LLC | Long Term Care Hospital | 775 Sunset Drive, Athens, GA 30606 | 2008-03-28 |
| 1750383584 | Regency Hospital Company of South Atlanta, LLC | Long Term Care Hospital | 1170 Cleveland Ave, Suite 217, East Point, GA 30344-3615 | 2005-08-11 |
| 1114928926 | Decatur Health Resources, Inc. | Long Term Care Hospital | 450 N Candler St, Decatur, GA 30030-2626 | 2005-08-02 |
| 1194722389 | Select Specialty Hospital - Augusta Inc | Long Term Care Hospital | 1537 Walton Way, Augusta, GA 30904-3764 | 2005-07-01 |
| 1720084734 | Affabilis LLC | Long Term Care Hospital | 616 19th St, Columbus, GA 31901-1528 | 2005-06-23 |
| 1285086579 | Lisa Ann Ruger | Long Term Care Hospital | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2016-07-11 |
| 1982090486 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals | Long Term Care Hospital | 6135 Roosevelt Highway, Warm Springs, GA 31830-0280 | 2015-04-10 |
| 1427468362 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Long Term Care Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-04-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.