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SAINT JOSEPH'S MERCY CARE - MARY HALL FREEDOM HOUSE
NPI 1003058967
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, GA

Active since March 24, 2009CLIA 11D0857587 · Microscopy
200 HANNOVER PARK RD STE 100, ATLANTA, GA 30350(678) 843-8500(678) 843-8601 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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, 2026 and lists Thomas E. Andrews, President, as its authorized official.

NPPES Registry Identity

NPI1003058967
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAINT JOSEPH'S MERCY CARE SERVICES, INC.
Location Address200 HANNOVER PARK RD STE 100Atlanta, GA 30350-1899
Mailing Address424 Decatur St SeAtlanta, GA 30312-1848 · (678) 843-8600 · Fax (678) 843-8601
Phone(678) 843-8500
Fax(678) 843-8601
Organization SubpartNo
Authorized OfficialThomas E. AndrewsPresident · (678) 843-8503
Enumeration DateMarch 24, 2009
✔ NPI 1003058967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
200 HANNOVER PARK RD STE 100, Atlanta, GA 30350
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Other Names 1

Doing Business AsSaint Joseph's Mercy Care - Mary Hall Freedom House

Other Identifiers 1

Medicare PINGRP7128GA

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, GA
Active · expires Aug 31, 2026
CLIA Number11D0857587
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGabriel Onofre
Laboratory Phone(678) 843-8600
Laboratory LocationSaint Josephs Mercy Care Services, Inc D/B/A Mercy Care424 Decatur Street, Atlanta, GA 30312
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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.

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, 2026. 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 with the weekly NPPES data releases published by CMS.