MERCER MEDICINE, LLC
NPI 1053481036
Internal Medicine in Macon, GA
NPI Status: Active since November 08, 2006
Contact Information
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
Phone: (478) 301-2362
Fax: (478) 301-2272
- Organization
- Internal Medicine
- CLIA Number: 11D2010159
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-30-2026
About MERCER MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Mercer Medicine, Llc, an internist established in Macon, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1053481036 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Mercer Medicine, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is William T Barnes (Director Of Operations)
- NPI
- 1053481036
- Provider Name
- MERCER MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 250 MARTIN LUTHER KING JR BLVD MACON, GA 31201
- Location Phone
- (478) 301-2362
- Location Fax
- (478) 301-2272
- Mailing Address
- 1550 COLLEGE ST SUITE A MACON, GA 31207
- Mailing Phone
- (478) 301-2362
- Mailing Fax
- (478) 301-2272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-08-2006
- Last Update Date
- 03-07-2014
- Code Navigator
An internist like Mercer Medicine, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 11 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 12 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 13 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2010159
- Facility Type
- Physician Office
- Certificate Effective Date
- May 01, 2024
- Certificate Expiration Date
- April 30, 2026
- Laboratory Director
- DR. EDWIN GRIMSLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercer Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MERCER MEDICINE, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 4 | 8 | 1 | 0 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 8 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 8 + 2 + 0 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1053481036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ANGELA J HALE M.D.
Psychiatry & Neurology
(Psychiatry)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
GLYNNIS J HALEY NP-C
Nurse Practitioner
(Family)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
DR. DAN EMORY PHILLIPS MD
Psychiatry & Neurology
(Psychiatry)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
WILLIAM P ROCHE III MD
Family Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
PAIGE W TENCH MD
Psychiatry & Neurology
(Psychiatry)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
DR. WILLIAM J ARBAN MD
Family Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
BLANCA ODALYS LOPEZ MD
Internal Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
COMMUNITY HEALTH CARE SYSTEMS, INC
Clinic/Center
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
JOHN WESLEY KING JR. M.D.
Internal Medicine
(Pulmonary Disease)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
DR. CHRISTOPHER B REEVES MD
Family Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
NEHA KHORANA PHD
Psychologist
(Clinical)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
DINAH K AYNA PHD
Psychologist
(Clinical)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
DR. STEPHANIE ALEXANDRA BEAVERS MD
Internal Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
CANDI NOBLES-JAMES MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
MONICA K. WRIGHT PSY.D.
Psychologist
(Clinical)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
MARITA ANN HOCKSTEDLER NP
Nurse Practitioner
(Family)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
KATHERINE WALKER HATCHER F.N.P.
Nurse Practitioner
(Family)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
JENNIFER MICHELE STANFIELD NP
Nurse Practitioner
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
AHMED IJAZ SHAH MD
Internal Medicine
(Interventional Cardiology)
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
THE CORPORATION OF MERCER UNIVERSITY
Family Medicine
250 MARTIN LUTHER KING JR BLVD
MACON, GA
ZIP 31201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053481036, enumerated as an "organization" on November 08, 2006.
The provider is located at 250 MARTIN LUTHER KING JR BLVD MACON, GA 31201 and the phone number is (478) 301-2362.
Internal Medicine with taxonomy code 207R00000X.
