SAINT JOSEPH'S MERCY CARE SERVICES, INC. (NPI# 1861893216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861893216 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH'S MERCY CARE SERVICES, INC. |
| Other Organization Name | SAINT JOSEPHS MERCY CARE - MERCY DEKALB CSB |
| Practice Address |
445 Winn Way Decatur GA 30030-1707 |
| Mailing Address |
424 Decatur St Se Atlanta GA 30312-1848 |
| Practice Telephone | 6788438600 |
| Practice Fax Number | 6788438601 |
| Mailing Telephone | 6788438600 |
| Mailing Fax Number | 6788438601 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-10-21 |
| 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 |
| Other Name | Type Code |
|---|---|
| Saint Josephs Mercy Care - Mercy Dekalb CSB | Other Name - Individual/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 |
| 1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
| 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 |
| Street Address |
445 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
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| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1083884852 | Community Health Improvement Center | Clinic/Center | 243 West Cerro Gordo Street, Decatur, IL 62526 | 2008-03-07 |
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| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1053769273 | Recovery Consultants of Atlanta, Inc. | Clinic/Center | 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 | 2016-05-27 |
| 1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
| 1518384213 | Community Health Improvement Center | Clinic/Center | 2300 N Edward St, Decatur, IL 62526-4163 | 2014-03-20 |
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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.