SAINT JOSEPH'S MERCY CARE SERVICES, INC. (NPI# 1689090896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689090896 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH'S MERCY CARE SERVICES, INC. |
| Other Organization Name | SAINT JOSEPH'S MERCY CARE - THE IMPERIAL |
| Practice Address |
355 Peachtree St Ne Atlanta GA 30308-3256 |
| Mailing Address |
424 Decatur St Se Atlanta GA 30312-1848 |
| Practice Telephone | 4044101420 |
| Mailing Telephone | 6788438600 |
| Mailing Fax Number | 6788438601 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | MR. E THOMAS ANDREWS (PRESIDENT) |
| Authorized Official Telephone | 6788438502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003145199A | 05 |
| Other Name | Type Code |
|---|---|
| Saint Joseph's Mercy Care - The Imperial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
| 1568818151 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 5134 Peachtree Rd, Chamblee, GA 30341-2724 | 2016-05-12 |
| 1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
| 1205243029 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2840 Plant Atkinson Rd Se, Smyrna, GA 30080-7240 | 2014-07-14 |
| 1144462003 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1135 Jefferson St Nw, Atlanta, GA 30318-8009 | 2009-03-24 |
| 1003058967 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 200 Hannover Park Rd Ste 100, Atlanta, GA 30350-1899 | 2009-03-24 |
| 1821239708 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 275 Pryor St Sw, Atlanta, GA 30303-3638 | 2009-03-23 |
| 1477794360 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 655 Ethel St Nw, Atlanta, GA 30318-5410 | 2009-03-23 |
| Street Address |
355 PEACHTREE ST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 1700328309 | Health Education Assessment and Leadership, Inc | Clinic/Center | 4215 Bakers Ferry Rd Sw, Miles Elementary School, Atlanta, GA 30331-4401 | 2016-11-14 |
| 1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
| 1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
| 1912365263 | Fulton County Government | Clinic/Center | 265 Boulevard Ne Fl 3, Atlanta, GA 30312-1208 | 2016-02-02 |
| 1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
| 1760741102 | The Family Health Centers of Georgia, Inc | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2012-05-04 |
| 1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
| 1366773541 | West End Medical Canters @the Atrium @ College Town | Clinic/Center | 456 Joseph E Lowery Blvd Sw, Atlanta, GA 30310 | 2010-01-27 |
| Find all providers in ATLANTA | ||||
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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.