MERCER UNIVERSITY SCHOOL OF MEDICINE (NPI# 1093055766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093055766 |
| Entity Type | Organization |
| Organization Name | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Practice Address |
1550 College St Macon GA 31204 |
| Mailing Address |
1550 College St Macon GA 31207-1500 |
| Practice Telephone | 4783012531 |
| Mailing Telephone | 4783012531 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Authorized Official Name | DR. ALICE HOUSE (SR. ASSOCIATE DEAN FOR ADMISSIONS) |
| Authorized Official Telephone | 4783012531 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301991 | Mercer University School of Medicine | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2013-08-22 |
| 1659705986 | Mercer University School of Medicine | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-22 |
| Street Address |
1550 COLLEGE ST |
| City | MACON |
| State | GA |
| Zip Code | 31204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
| 1225635220 | Nina Navalkar | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-10-03 |
| 1255949640 | Jennifer L Stang | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-07-21 |
| 1750910865 | Kishan Ajit Patel | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-04-02 |
| 1134758220 | John Ryan Curcuru | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2020-04-02 |
| 1104464841 | Kaylyn Bell | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-12 |
| 1104464981 | Nicholas B Drury | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-12 |
| 1275171001 | John Peter Polites | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-12-11 |
| 1205484524 | Thomas Augustin Scofield | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-08-29 |
| 1053969782 | Philip Chung | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005664 | Jackson Rodgers | Student in an Organized Health Care Education/Training Program | 5a Whispering Pines Ct, Macon, IL 62544-7218 | 2020-05-26 |
| 1548882780 | Lauren Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 790 1st St, Macon, GA 31201-6874 | 2020-05-11 |
| 1639708654 | Nehal Ninad | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln, Macon, GA 31201-2168 | 2020-04-02 |
| 1346878279 | Albarra Younis | Student in an Organized Health Care Education/Training Program | 6445 Stapleton Rd, Macon, GA 31216-5234 | 2020-03-27 |
| 1396372496 | Joseph Martin Roberts | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 | 2020-03-26 |
| 1336775204 | Christopher Robin Denham | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Bldg A, Macon, GA 31217-8001 | 2020-03-23 |
| 1144852856 | Rachel Kathryn Albrecht | Student in an Organized Health Care Education/Training Program | 1500 College St, Macon, GA 31207-1500 | 2020-02-11 |
| 1710519616 | Elisha Scott | Student in an Organized Health Care Education/Training Program | 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 | 2020-02-08 |
| 1871125179 | Aaron Daniel Brown | Student in an Organized Health Care Education/Training Program | 804 Locust St, Macon, MO 63552-1846 | 2020-02-05 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.