SAINT JOSEPH'S MERCY CARE - MARY HALL FREEDOM HOUSE
NPI 1003058967
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, GA
About Saint Joseph's Mercy Care - Mary Hall Freedom House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAINT JOSEPH'S MERCY CARE - MARY HALL FREEDOM HOUSE (NPI 1003058967) is a healthcare organization registered as a federally qualified health center (fqhc) in Atlanta, Georgia and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Thomas E. Andrews, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saint Joseph's Mercy Care - Mary Hall Freedom House is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Saint Joseph's Mercy Care - Mary Hall Freedom House, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 64Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0857587
Saint Josephs Mercy Care Services, Inc D/B/A Mercy Care · Atlanta, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Saint Joseph's Mercy Care Services, Inc.'s NPI number?
The NPI number for Saint Joseph's Mercy Care Services, Inc. is 1003058967. It was assigned to this organization in the NPPES registry on March 24, 2009. The provider is doing business as Saint Joseph's Mercy Care - Mary Hall Freedom House.
Where is Saint Joseph's Mercy Care Services, Inc. located?
Saint Joseph's Mercy Care Services, Inc. is located at 200 Hannover Park Rd Ste 100, Atlanta, GA 30350. The listed phone number is (678) 843-8500.
What is Saint Joseph's Mercy Care Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Saint Joseph's Mercy Care Services, Inc. enrolled in Medicare?
Yes. Saint Joseph's Mercy Care Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Saint Joseph's Mercy Care Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 10 Medicare specialties reassign their Medicare billing to Saint Joseph's Mercy Care Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Dentist (10) and Clinical Social Worker (8). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Saint Joseph's Mercy Care Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0857587) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Saint Joseph's Mercy Care Services, Inc. was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Saint Joseph's Mercy Care - Mary Hall Freedom House · NPI 1003058967
Federally Qualified Health Center (FQHC) organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since March 24, 2009.
## Identity
- **NPI:** 1003058967 (Entity type: Organization)
- **Enumerated:** March 24, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Saint Joseph's Mercy Care Services, Inc.
- **Organization subpart:** No
- **Authorized official:** Thomas Andrews, PRESIDENT
## Practice location
- **Address:** 200 HANNOVER PARK RD STE 100, Atlanta, GA 30350-1899
- **Phone:** (678) 843-8500 · **Fax:** (678) 843-8601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 64 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Dentist (10), Clinical Social Worker (8); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1003058967/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2009
- **Other identifiers:** Medicare PIN GRP7128 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003058967) · Data from the CMS NPPES public registry.