MERCY CARE SOUTH
NPI 1306042890
Family Medicine in Cedar Rapids, IA

Q: What is Mercy Care Management, Inc's NPI number?

The NPI number for Mercy Care Management, Inc is 1306042890. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Mercy Care South.

Q: What is Mercy Care Management, Inc's specialty?

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

Active since June 22, 2007CLIA 16D0980778 · Waiver

2815 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404(319) 369-4798 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mercy Care South NPPES

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

MERCY CARE SOUTH (NPI 1306042890) is a healthcare organization registered as a family medicine in Cedar Rapids, Iowa and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Timothy L Charles, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1306042890

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMERCY CARE MANAGEMENT, INC

Location Address2815 EDGEWOOD RD SWCedar Rapids, IA 52404-3258

Mailing AddressPo Box 786Cedar Rapids, IA 52406-0786

Phone(319) 369-4798

Organization SubpartNo

Authorized OfficialTimothy L CharlesPresident And Ceo · (319) 398-6697

Enumeration DateJune 22, 2007

Last NPPES UpdateNovember 1, 2018

✔ NPI 1306042890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

2815 EDGEWOOD RD SW, Cedar Rapids, IA 52404

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Other Names 1

Doing Business AsMercy Care South

Other Identifiers 2

Medicaid0794263IA

Medicaid0794255IA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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 16D0980778

Mercy Care South · Cedar Rapids, IA

Active · expires Apr 6, 2028

CLIA Number16D0980778

Laboratory TypePhysician Office

Certificate Effective DateApril 7, 2026

Certificate Expiration DateApril 6, 2028

Laboratory DirectorColleen Keating

Laboratory Phone(319) 396-9097

Laboratory LocationMercy Care South2815 Edgewood Road SW, Cedar Rapids, IA 52404

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN BARNETTE MD

Family Medicine