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EDGAR ANTONIO MERCADO M.D
NPI 1821244039
Internal Medicine in Augusta, GA

Active since August 07, 2008PECOS Enrolled
1120 15TH ST, AF 2039, AUGUSTA, GA 30912(706) 721-6016 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Antonio Mercado M.d NPPES

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

EDGAR ANTONIO MERCADO M.D (NPI 1821244039) is an individual internal medicine provider in Augusta, Georgia, licensed in Florida (ME135768) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Florida St Petersburg Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1821244039
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDGAR ANTONIO MERCADOCredential: M.D
Location Address1120 15TH ST, AF 2039Augusta, GA 30912-0004
Mailing Address1120 15th St, Af 2039Augusta, GA 30912-0004 · (706) 721-6016
Phone(706) 721-6016
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 7, 2008
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1821244039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME135768
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.
1120 15TH ST, Augusta, GA 30912
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Antonio Mercado M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092026625
PECOS Enrollment IDI20150623001159, I20190917000699, I20231211000586, I20240223002254, I20240304003096, I20240719002569, I20240802001662, I20250529003837
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Edgar Mercado reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc
Same address
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Sound Physicians Intensivists Of South Carolina LLC
15 mi
Critical Care Medicine
302 UNIVERSITY PKWY
Aiken, SC 29801
  • Reassigned Medicare billing, South Carolina enrollment
  • 21 clinicians in this Medicare group
NPI 1962045401 (615) 377-5658
Sound Physicians Intensivists Of Georgia PC
107 mi
Critical Care Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 89 clinicians in this Medicare group
NPI 1376159590 (478) 757-8200
Sound Physicians Intensivists Of Virginia LLC
379 mi
Critical Care Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1619520806 (808) 673-8160
Sunergy Physicians LLC
394 mi
Internal Medicine
4820 5TH AVE N
St Petersburg, FL 33713
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1386247658 (727) 280-5767
Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor
481 mi
Critical Care Medicine
4000 JOHNSON RD
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
NPI 1447981303 (740) 264-8000
Hospitalist Medicine Physicians Of Delaware, PA
560 mi
Critical Care Medicine
701 N CLAYTON ST
Wilmington, DE 19805
  • Reassigned Medicare billing, Delaware enrollment
  • 48 clinicians in this Medicare group
NPI 1780951814 (615) 377-5600
Critical Care Physicians Of Pennsylvania PC
581 mi
Critical Care Medicine
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 84 clinicians in this Medicare group
NPI 1952670085 (610) 237-4000
Critical Care Physicians Of Illinois LLC
665 mi
Critical Care Medicine
2000 OGDEN AVE
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 96 clinicians in this Medicare group
NPI 1508134966 (847) 618-1000
Critical Care Physician Of New York PC
706 mi
Critical Care Medicine
70 DUBOIS ST FL 2
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1316293954 (845) 561-4400

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

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
342 services166 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
217 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Edgar Mercado's NPI number?

The NPI number for Edgar Mercado is 1821244039. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Edgar Mercado located?

Edgar Mercado practices at 1120 15th St Af 2039, Augusta, GA 30912. The listed phone number is (706) 721-6016.

What is Edgar Mercado's specialty?

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

Is Edgar Mercado enrolled in Medicare?

Yes. Edgar Mercado is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edgar Mercado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Mercado reassigns Medicare benefits to 11 organizations: Au Medical Associates Inc (Augusta, GA), Sound Physicians Intensivists Of South Carolina LLC (Aiken, SC), Sound Physicians Intensivists Of Georgia PC (Macon, GA), Sound Physicians Intensivists Of Virginia LLC (Richmond, VA), Sunergy Physicians LLC (St Petersburg, FL) and 6 more organizations, listed in the Medicare section above. Each 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 Edgar Mercado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Mercado accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Edgar Mercado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edgar Mercado affiliated with any hospitals?

According to CMS data, Edgar Mercado is affiliated with Hca Florida St Petersburg Hospital, Trinity Medical Ctr East &trinity Medical Ctr West, Mercy Catholic Medical Center- Mercy Fitzgerald and Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Mercado was last updated on June 20, 2024. 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.