DR. THAEDRA DENICE MERCADEL (NPI# 1801068531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801068531 |
| Entity Type | Individual |
| Full Name | DR. THAEDRA DENICE MERCADEL |
| Credential | M.D. |
| Practice Address |
3872 Highway 5 Douglasville GA 30135-3366 |
| Practice Telephone | 7709495535 |
| Practice Fax Number | 7709499022 |
| Mailing Telephone | 7709495535 |
| Mailing Fax Number | 7709499022 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 869784 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3872 HIGHWAY 5 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918671 | Douglas County Family Practice, P.C. | Clinic/Center | 3872 Highway 5, Douglasville, GA 30135-3366 | 2005-08-04 |
| 1710517388 | Kelly Dimeo | Nurse Practitioner | 3872 Highway 5, Douglasville, GA 30135-3366 | 2020-01-22 |
| 1396171708 | Bhumika Banugaria | Nurse Practitioner | 3872 Highway 5, Douglasville, GA 30135-3366 | 2013-09-17 |
| 1821268319 | Binu J George | Internal Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2008-03-11 |
| 1083769376 | Douglas County Family Practice, P.C. | Internal Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2007-01-24 |
| 1992792972 | Syed A Jafri | Specialist | 3872 Highway 5, Douglasville, GA 30135-3366 | 2005-10-04 |
| 1972590982 | Mariam George | Family Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750900 | Bryan D Ross | Internal Medicine | 7135 Creeksong Dr, Douglasville, GA 30134-7072 | 2017-06-23 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1851697312 | Stinson Medical Associates, Inc | Internal Medicine | 3000 Chapel Hill Rd, Suite 203, Douglasville, GA 30135-1837 | 2011-02-01 |
| 1376770800 | Ramin Saghafi | Internal Medicine | 6001 Professional Pkwy #2020, Douglasville, GA 30134 | 2009-06-10 |
| 1851543086 | Sophia Saifee | Internal Medicine | 6025 Professional Pkwy Ste 200, Douglasville, GA 30134-5610 | 2008-10-21 |
| 1922130012 | Classicare Medical Consult PC, Inc | Internal Medicine | 4904 Timber Ridge Dr Ste 303, Douglasville, GA 30135-1831 | 2007-03-12 |
| 1720138597 | Thomas C Varughese | Internal Medicine | 6095 Professional Pkwy Ste B200, Douglasville, GA 30134-5608 | 2007-01-11 |
| 1861568412 | Lee David Jacobs | Internal Medicine | 6875 Douglas Blvd Suite A, Kaiser Permanente Douglasville, Douglasville, GA 30135 | 2006-11-27 |
| 1316957939 | Michelle Allison Huggins | Internal Medicine | 6934 Broad St, Douglasville, GA 30134-1604 | 2006-08-08 |
| 1245266782 | Jason Berendt | Internal Medicine | 9390 The Landing Dr, Douglasville, GA 30135 | 2006-06-25 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.