LADY OF MERCY'S TELEHEALTH SERVICES LLC
NPI 1073307641
Clinic/Center - Primary Care in Lawrenceville, GA
About Lady Of Mercy's Telehealth Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LADY OF MERCY'S TELEHEALTH SERVICES LLC (NPI 1073307641) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since April 2025. The organization lists Krystal K Predeoux, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lady Of Mercy's Telehealth Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lady Of Mercy's Telehealth Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lady Of Mercy's Telehealth Services LLC's NPI number?
The NPI number for Lady Of Mercy's Telehealth Services LLC is 1073307641. It was assigned to this organization in the NPPES registry on April 8, 2025.
Where is Lady Of Mercy's Telehealth Services LLC located?
Lady Of Mercy's Telehealth Services LLC is located at 5101 Lealand Place Ln # 5101, Lawrenceville, GA 30044. The listed phone number is (770) 256-3765.
What is Lady Of Mercy's Telehealth Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lady Of Mercy's Telehealth Services LLC enrolled in Medicare?
Yes. Lady Of Mercy's Telehealth Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lady Of Mercy's Telehealth Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Lady Of Mercy's Telehealth Services LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lady Of Mercy's Telehealth Services LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Lady Of Mercy's Telehealth Services Llc · NPI 1073307641
Primary Care organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since April 8, 2025.
## Identity
- **NPI:** 1073307641 (Entity type: Organization)
- **Enumerated:** April 8, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Krystal Predeoux, DIRECTOR
## Practice location
- **Address:** 5101 LEALAND PLACE LN # 5101, Lawrenceville, GA 30044-8305
- **Phone:** (770) 256-3765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073307641) · Data from the CMS NPPES public registry.