SAINT JOSEPH'S MERCY CARE SERVICES INC (NPI# 1831266618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831266618 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH'S MERCY CARE SERVICES INC |
| Practice Address |
424 Decatur St Se Atlanta GA 30312-1848 |
| Practice Telephone | 4048803550 |
| Practice Fax Number | 4048803578 |
| Mailing Telephone | 4048803550 |
| Mailing Fax Number | 4048803578 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MR. E THOMAS ANDREWS (PRESIDENT) |
| Authorized Official Telephone | 4048803559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NOT REQUIRED | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00649844A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663421 | Saint Joseph's Mercy Care Services Inc | Clinic/Center | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 | 2005-07-21 |
| Street Address |
424 DECATUR ST SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801860986 | Cindy Denise Unongo | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2006-02-15 |
| 1649741299 | Kristen Michelle Deltoro | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2018-12-07 |
| 1447761150 | Krystal D Toland | Case Manager/Care Coordinator | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-10-20 |
| 1518486000 | Sherry Renee Baldwin | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-09-15 |
| 1366965477 | Emily Bakshi | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-07-20 |
| 1437525029 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2015-08-18 |
| 1053723676 | Andrea Haynes | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2014-06-02 |
| 1427484302 | Jaime Bettina King | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-09-23 |
| 1265874796 | Joy Fernandez De Narayan | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-07-25 |
| 1497090211 | Cathryn Marchman | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| 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 |
| 1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
| 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 |
| 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.