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MERCYMED OF COLUMBUS INC
NPI 1124800545
Family Medicine in Columbus, GA

Active since October 19, 2023CLIA 11D2037167 · Waiver
110 21ST ST APT 3101, COLUMBUS, GA 31901(706) 507-9209(706) 507-9249 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercymed Of Columbus Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCYMED OF COLUMBUS INC (NPI 1124800545) is a healthcare organization registered as a family medicine in Columbus, Georgia and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Tony Nguyen, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1124800545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMERCYMED OF COLUMBUS INC
Location Address110 21ST ST APT 3101Columbus, GA 31901-1057
Mailing Address3702 2nd AveColumbus, GA 31904-7408 · (706) 507-9209 · Fax (706) 507-9209
Phone(706) 507-9209
Fax(706) 507-9249
Organization SubpartNo
Authorized OfficialTony NguyenChief Operations Officer · (706) 507-9209
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1124800545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 21ST ST APT 3101, Columbus, GA 31901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 11D2037167

Mercy Med Of Columbus · Columbus, GA
Active · expires Oct 31, 2027
CLIA Number11D2037167
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Grant J. Scarborough
Laboratory Phone(706) 507-9209
Laboratory LocationMercy Med Of Columbus3702 2nd Avenue, Columbus, GA 31904
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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 Mercymed Of Columbus Inc's NPI number?

The NPI number for Mercymed Of Columbus Inc is 1124800545. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Mercymed Of Columbus Inc located?

Mercymed Of Columbus Inc is located at 110 21st St Apt 3101, Columbus, GA 31901. The listed phone number is (706) 507-9209.

What is Mercymed Of Columbus Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mercymed Of Columbus Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2037167) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercymed Of Columbus Inc was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.