MERCER UNIVERSITY (NPI# 1740736024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740736024 |
| Entity Type | Organization |
| Organization Name | MERCER UNIVERSITY |
| Other Organization Name | MERCER UNIVERSITY SPORTS MEDICINE |
| Practice Address |
1501 Mercer University Dr Macon GA 31207-1515 |
| Mailing Address |
5050 Spring Valley Rd. Dallas TX 75244-3909 |
| Practice Telephone | 4783012994 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036295 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercer University Sports Medicine | Doing Business As Name - Organization |
| Street Address |
1501 MERCER UNIVERSITY DR |
| City | MACON |
| State | GA |
| Zip Code | 31207-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254766 | Matthew Mackenzie Kahrmann | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2016-06-01 |
| 1609494343 | Nicole Sibert | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1427676162 | Jessica Leanne Waters | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1598383234 | Hollye Robinson | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1023634409 | Clayton Seigel | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-06-22 |
| 1609403559 | Bryan John Hostetler | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-03-23 |
| 1326697988 | Ayana Nikita Graham | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2019-09-06 |
| 1861976367 | Indya Denise Brown | Emergency Medicine | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2018-09-20 |
| 1962982124 | Emily Hartley Gabriel | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2018-08-17 |
| 1336654326 | Edward Larry Long IIi | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
| 1366723751 | Abigail Lewis | Family Medicine | 1550 College St, Macon, GA 31207 | 2011-08-30 |
| 1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
| 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 |
| 1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
| 1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
| 1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
| 1285747642 | Kristin Elizabeth Bourque | Specialist/Technologist | 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001 | 2006-08-17 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467904433 | Ortho Sport & Spine Physicians Macon | Orthopaedic Surgery | 4601 Arkwright Rd, Macon, GA 31210-1303 | 2016-10-26 |
| 1770998221 | William Neisler Melton | Orthopaedic Surgery | 100 N Macon St, Macon, GA 31210-6563 | 2014-06-24 |
| 1326262312 | Jarrod Edward Dumpe | Orthopaedic Surgery | 840 Pine St Ste 500, Macon, GA 31201-7530 | 2007-04-12 |
| 1710900162 | Winston R. Jeshuran | Orthopaedic Surgery | 310 Hospital Dr Ste 210, Macon, GA 31217-8026 | 2006-07-26 |
| 1164462107 | Stephen N Barnes | Orthopaedic Surgery | 4664 Riverside Park Blvd, Macon, GA 31210-1397 | 2006-06-07 |
| 1376042796 | Optim Orthopedics LLC | Orthopaedic Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2018-02-12 |
| 1922559681 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2016-10-18 |
| 1720532286 | Macon Orthopaedic & Hand Center Pa | Orthopaedic Surgery | 1600 Forsyth St, Macon, GA 31201-1408 | 2016-08-12 |
| 1205213592 | Peter Bishara | Orthopaedic Surgery | 840 Pine St Ste 500, Macon, GA 31201-7530 | 2015-05-06 |
| 1770990137 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2014-07-17 |
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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.