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MERCER UNIVERSITY SPORTS MEDICINE
NPI 1740736024
Orthopaedic Surgery in Macon, GA

Active since August 28, 2016CLIA 11D2051263 · Waiver
1501 MERCER UNIVERSITY DR, MACON, GA 31207(478) 301-2994 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercer University Sports Medicine NPPES

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

MERCER UNIVERSITY SPORTS MEDICINE (NPI 1740736024) is a healthcare organization registered as an orthopaedic surgery in Macon, Georgia and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1740736024
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMERCER UNIVERSITY
Location Address1501 MERCER UNIVERSITY DRMacon, GA 31207-1515
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909
Phone(478) 301-2994
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateAugust 28, 2016
✔ NPI 1740736024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 036295
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1501 MERCER UNIVERSITY DR, Macon, GA 31207
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Other Names 1

Doing Business AsMercer University Sports Medicine

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 11D2051263

Mercer University Campus Health Macon · Macon, GA
Active · expires Dec 16, 2026
CLIA Number11D2051263
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorLynn T. Denny
Laboratory Phone(478) 301-2397
Laboratory LocationMercer University Campus Health Macon1327 Stadium Drive, Macon, GA 31207
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. CODY DOUGLAS PARTIN MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (783) 012-7464
CHASE HANDLEY ATC
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-4609
MR. JOHN OWEN YOUNGBLOOD III MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 955-1587
JANAE EVANS
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (678) 887-7856
ALEXIS BAYLEE BENNETT
Student in an Organized Health Care Education/Training Program
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (800) 637-2378
INSPIRED JOURNEYS
Community/Behavioral Health
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 216-7362
CHARLES FREEMAN MCCLUSKEY
Clinic/Center (Research)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (706) 332-0051
RACHEL LE
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-5129

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 Mercer University's NPI number?

The NPI number for Mercer University is 1740736024. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Mercer University Sports Medicine.

Where is Mercer University located?

Mercer University is located at 1501 Mercer University Dr, Macon, GA 31207. The listed phone number is (478) 301-2994.

What is Mercer University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Mercer University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2051263) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercer University was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.