| Saint Joseph's Mercy Care Services Inc | |
|
3367 Buford Hwy Ne Suite 910 Atlanta GA 30329-1709 | |
| (678) 843-8700 | |
| (404) 633-0502 |
| Full Name | Saint Joseph's Mercy Care Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3367 Buford Hwy Ne, Atlanta, Georgia |
| Authorized Official Name and Position | E Thomas Andrews (PRESIDENT) |
| Authorized Official Contact | 6788438502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph's Mercy Care Services Inc 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8500 | Saint Joseph's Mercy Care Services Inc 3367 Buford Hwy Ne Suite 910 Atlanta GA 30329-1709 Ph: (678) 843-8700 |
| NPI Number | 1588663421 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 01/31/2011 |
| Medicare PECOS PAC ID | 9931191525 |
|---|---|
| Medicare Enrollment ID | O20050516000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588663421 | NPI | - | NPPES |
| 00649844B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Karen A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497728513 PECOS PAC ID: 8527043256 Enrollment ID: I20040618000647 |
| Provider Name | Jamie D Gallagher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568573079 PECOS PAC ID: 5698735439 Enrollment ID: I20041019000461 |
| Provider Name | Myrtle M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083786289 PECOS PAC ID: 3870554835 Enrollment ID: I20041022000503 |
| Provider Name | Patricia A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972527000 PECOS PAC ID: 0446209845 Enrollment ID: I20050112000744 |
| Provider Name | James A Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255309100 PECOS PAC ID: 8921052846 Enrollment ID: I20050303000495 |
| Provider Name | Reed Pitre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902915929 PECOS PAC ID: 2163476672 Enrollment ID: I20050308000860 |
| Provider Name | Cindy D Unongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801860986 PECOS PAC ID: 2264460286 Enrollment ID: I20050801000758 |
| Provider Name | Willie Winzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043273014 PECOS PAC ID: 1052417409 Enrollment ID: I20070502000228 |
| Provider Name | Pamela J Spearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770793598 PECOS PAC ID: 9638258551 Enrollment ID: I20080505000169 |
| Provider Name | Gabriel E Onofre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205021912 PECOS PAC ID: 4789722216 Enrollment ID: I20091103000621 |
| Provider Name | Traci L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891929162 PECOS PAC ID: 5698947208 Enrollment ID: I20111004000175 |
| Provider Name | Dexter T Todmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063700672 PECOS PAC ID: 0840459160 Enrollment ID: I20120306000717 |
| Provider Name | Elvira Margarita Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467717686 PECOS PAC ID: 3274783998 Enrollment ID: I20121015000499 |
| Provider Name | James Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861643231 PECOS PAC ID: 5698942282 Enrollment ID: I20130110000346 |
| Provider Name | Joy Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265874796 PECOS PAC ID: 8628202900 Enrollment ID: I20130930000567 |
| Provider Name | Maria Castaneda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225454309 PECOS PAC ID: 0648493981 Enrollment ID: I20140514000880 |
| Provider Name | Debora S Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205964269 PECOS PAC ID: 0648494047 Enrollment ID: I20140604001764 |
| Provider Name | David P Holland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750587978 PECOS PAC ID: 2365592029 Enrollment ID: I20141031002106 |
| Provider Name | Marly A Santana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699171140 PECOS PAC ID: 1759604390 Enrollment ID: I20150106001862 |
| Provider Name | Melissa N Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598156408 PECOS PAC ID: 2860710993 Enrollment ID: I20150421001307 |
| Provider Name | Lekha Samuel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497162713 PECOS PAC ID: 8123246303 Enrollment ID: I20170816001964 |
| Provider Name | Tildon Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043740178 PECOS PAC ID: 5698041663 Enrollment ID: I20171018001623 |
| Provider Name | Emily Bakshi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366965477 PECOS PAC ID: 4587922620 Enrollment ID: I20171220000146 |
| Provider Name | Sowmya K Kenia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174857601 PECOS PAC ID: 9335370774 Enrollment ID: I20171220002783 |
| Provider Name | Latonia Melissa Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951741 PECOS PAC ID: 1759522832 Enrollment ID: I20180724004216 |
| Provider Name | Mawuena Agbonyitor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225303670 PECOS PAC ID: 8325397417 Enrollment ID: I20180822003866 |
| Provider Name | Sarah P Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962907121 PECOS PAC ID: 3678825189 Enrollment ID: I20181011000911 |
| Provider Name | Melanie Denise Dunson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174612782 PECOS PAC ID: 0042526626 Enrollment ID: I20191112002304 |
| Provider Name | Frederick Jeffrey Moore |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215157060 PECOS PAC ID: 0042508004 Enrollment ID: I20191114003623 |
| Provider Name | Rochelle Antoinette Butler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811043243 PECOS PAC ID: 3577997568 Enrollment ID: I20191227002232 |
| Provider Name | Philip A. Davidson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649478280 PECOS PAC ID: 6507290418 Enrollment ID: I20191231002469 |
| Provider Name | Miriam Tivzenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902466154 PECOS PAC ID: 8527492370 Enrollment ID: I20200102001836 |
| Provider Name | Katrina Schuler Mitchell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851514541 PECOS PAC ID: 4284068057 Enrollment ID: I20200102002712 |
| Provider Name | Jiyeon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154863520 PECOS PAC ID: 7618301334 Enrollment ID: I20200103002253 |
| Provider Name | Latoya Barbee Chivers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457573081 PECOS PAC ID: 7012204068 Enrollment ID: I20200108001480 |
| Provider Name | Thomas Myong Yun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245231133 PECOS PAC ID: 3173596921 Enrollment ID: I20200601001472 |
| Provider Name | Sherry Renee Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518486000 PECOS PAC ID: 1355765355 Enrollment ID: I20200723001755 |
| Provider Name | Marie Jose Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692169 PECOS PAC ID: 8426448168 Enrollment ID: I20211211000042 |
| Provider Name | Cheol Min Yoon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730798646 PECOS PAC ID: 9739574963 Enrollment ID: I20220324001516 |
| Provider Name | Olivia T Agboola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568022671 PECOS PAC ID: 1850779158 Enrollment ID: I20220527000063 |
| Provider Name | Aaron David Maslia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114484904 PECOS PAC ID: 0547648735 Enrollment ID: I20220531000974 |
| Provider Name | Erin Shea Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033785431 PECOS PAC ID: 3274911375 Enrollment ID: I20220601002690 |
| Provider Name | Miraya Jun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669068169 PECOS PAC ID: 0244618106 Enrollment ID: I20220606000104 |
| Provider Name | Jolly Maria Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033777826 PECOS PAC ID: 4789062241 Enrollment ID: I20220613000983 |
| Provider Name | Kamili J Willis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609841204 PECOS PAC ID: 1951782085 Enrollment ID: I20220720001091 |
| Provider Name | Matthew Lewis Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063823896 PECOS PAC ID: 8921327180 Enrollment ID: I20220801002770 |
| Provider Name | Walena Olivia Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710604749 PECOS PAC ID: 5092186510 Enrollment ID: I20230120000703 |
| Provider Name | Claudina Y Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487375267 PECOS PAC ID: 5395101919 Enrollment ID: I20230523002934 |
| Provider Name | Renee Alli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003870874 PECOS PAC ID: 1254622020 Enrollment ID: I20230711003184 |
| Provider Name | Avril Marie Laurendine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188047 PECOS PAC ID: 3476913062 Enrollment ID: I20230713003880 |
| Provider Name | Christina Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467828939 PECOS PAC ID: 6305121922 Enrollment ID: I20230725000301 |
| Provider Name | Alecia George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679935613 PECOS PAC ID: 4688078215 Enrollment ID: I20230801000139 |
| Provider Name | Sarah Ann Abshire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538829528 PECOS PAC ID: 4183073992 Enrollment ID: I20231205002842 |
| Provider Name | Regina Peavy Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083488167 PECOS PAC ID: 6800245572 Enrollment ID: I20231207001666 |
| Provider Name | Autumn Gabin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407480726 PECOS PAC ID: 6507215902 Enrollment ID: I20231211002656 |
| Provider Name | Tamara Mcfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386282960 PECOS PAC ID: 4183038508 Enrollment ID: I20240119001295 |
| Provider Name | Ashunte Denise Claybrooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922272244 PECOS PAC ID: 2860851052 Enrollment ID: I20240130001731 |
| Provider Name | Meschelle King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235582669 PECOS PAC ID: 8921467184 Enrollment ID: I20240201003623 |
| Provider Name | Christine Penguino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962036798 PECOS PAC ID: 9537512892 Enrollment ID: I20240202000996 |
| Provider Name | Vershonda P Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831785922 PECOS PAC ID: 2365880069 Enrollment ID: I20240401000830 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |