DR. THAEDRA DENICE MERCADEL M.D.
NPI 1801068531
Internal Medicine in Douglasville, GA

Q: What is Thaedra Mercadel's NPI number?

The NPI number for Thaedra Mercadel is 1801068531. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Q: What is Thaedra Mercadel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thaedra Mercadel was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment

3872 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 949-5535(770) 949-9022 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thaedra Denice Mercadel M.d. NPPES

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

DR. THAEDRA DENICE MERCADEL M.D. (NPI 1801068531) is an individual internal medicine provider in Douglasville, Georgia, licensed in Georgia (869784) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and is a graduate of Morehouse School Of Medicine (2005).

NPPES Registry Identity

NPI1801068531

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. THAEDRA DENICE MERCADELCredential: M.D.

Location Address3872 HIGHWAY 5Douglasville, GA 30135-3366

Mailing Address3872 Highway 5Douglasville, GA 30135-3366 · (770) 949-5535 · Fax (770) 949-9022

Phone(770) 949-5535

Fax(770) 949-9022

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 2005

Enumeration DateApril 2, 2008

Last NPPES UpdateAugust 22, 2011

✔ NPI 1801068531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 869784

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.

3872 HIGHWAY 5, Douglasville, GA 30135

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thaedra Denice Mercadel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709056468

PECOS Enrollment IDI20110907001215

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

406 services236 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

213 services150 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

159 services159 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

101 services101 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

87 services75 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

40 services40 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110042

Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110184

Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DOUGLAS COUNTY FAMILY PRACTICE, P.C.

Clinic/Center (Primary Care)