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MERCY INTERNAL MEDICINE ASSOCIATED PC
NPI 1710038856
Internal Medicine in Lithonia, GA

Active since January 16, 2007CLIA 11D1055186 · Waiver
8225 MALL PKWY STE 240, LITHONIA, GA 30038(770) 484-3092(770) 484-3096 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mercy Internal Medicine Associated Pc NPPES

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

MERCY INTERNAL MEDICINE ASSOCIATED PC (NPI 1710038856) is a healthcare organization registered as an internal medicine in Lithonia, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Olufunso A Ojo, Physician, as its authorized official.

NPPES Registry Identity

NPI1710038856
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMERCY INTERNAL MEDICINE ASSOCIATED PC
Location Address8225 MALL PKWY STE 240Lithonia, GA 30038-6995
Mailing Address8225 Mall Pkwy Ste 240Lithonia, GA 30038-6995 · (770) 484-3092 · Fax (770) 484-3096
Phone(770) 484-3092
Fax(770) 484-3096
Organization SubpartNo
Authorized OfficialOlufunso A OjoPhysician · (770) 484-3095
Enumeration DateJanuary 16, 2007
Last NPPES UpdateDecember 17, 2012
✔ NPI 1710038856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed · 054004
Definition
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.
8225 MALL PKWY STE 240, Lithonia, GA 30038
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Other Identifiers 1

Other1316991748GA · Npi For Dr Ojo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Internal Medicine Associated Pc 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 Mercy Internal Medicine Associated PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olufonso Ojo, M.D
Internal Medicine
NPI 1316991748
8225 MALL PKWY SUITE 240
Lithonia, GA 30038
(770) 484-3092
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1055186

Mercy Internal Medicine · Lithonia, GA
Active · expires Jun 11, 2028
CLIA Number11D1055186
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorOlufunso A. Ojo
Laboratory Phone(770) 484-3092
Laboratory LocationMercy Internal Medicine8225 Mall Parkway, Suite 240, Lithonia, GA 30038
CLIA data matches this NPI record on: Address Name 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 Mercy Internal Medicine Associated PC's NPI number?

The NPI number for Mercy Internal Medicine Associated PC is 1710038856. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Mercy Internal Medicine Associated PC located?

Mercy Internal Medicine Associated PC is located at 8225 Mall Pkwy Ste 240, Lithonia, GA 30038. The listed phone number is (770) 484-3092.

What is Mercy Internal Medicine Associated PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mercy Internal Medicine Associated PC enrolled in Medicare?

Yes. Mercy Internal Medicine Associated PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Internal Medicine Associated PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mercy Internal Medicine Associated PC. 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.

Does Mercy Internal Medicine Associated PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1055186) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercy Internal Medicine Associated PC was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.