DONALD MERCADO
NPI 1063167500
Physical Therapist in Buford, GA
About Donald Mercado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONALD MERCADO (NPI 1063167500) is an individual physical therapist in Buford, Georgia, licensed in Georgia (PT015767) and active in the NPI registry since February 2022. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Donald Mercado is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Donald Mercado reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buford, GA 30518
- Reassigned Medicare billing, Georgia enrollment
- 1,061 clinicians in this Medicare group
Cumming, GA 30041
- Reassigned Medicare billing, Georgia enrollment
- 788 clinicians in this Medicare group
Duluth, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 322 clinicians in this Medicare group
Loganville, GA 30052
- Reassigned Medicare billing, Georgia enrollment
- 207 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 323 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Georgia enrollment
- 521 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFORD, GA 30518
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 Donald Mercado's NPI number?
The NPI number for Donald Mercado is 1063167500. It was assigned to this individual provider in the NPPES registry on February 14, 2022.
Where is Donald Mercado located?
Donald Mercado practices at 4510 Nelson Brogdon Blvd, Buford, GA 30518. The listed phone number is (770) 945-1045.
What is Donald Mercado's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Donald Mercado enrolled in Medicare?
Yes. Donald Mercado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Donald Mercado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Mercado reassigns Medicare benefits to 6 organizations: Independent Physical Therapy Of Georgia, LLC (Buford, GA), Benchmark Physical Therapy, Inc (Cumming, GA), Emory Physical Therapy, LLC (Duluth, GA), Drayer Physical Therapy Georgia LLC (Loganville, GA), Georgia Luna Care Physical Therapy LLC (Atlanta, GA) and 1 more organization, listed in the Medicare section above. Each 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 Donald Mercado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Mercado accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Donald Mercado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Donald Mercado was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.