Healthcare Provider Details

I. General information

NPI: 1235991902
Provider Name (Legal Business Name): MERCY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 OGLETHORPE AVE STE C7
ATHENS GA
30606-2221
US

IV. Provider business mailing address

700 OGLETHORPE AVE STE C7
ATHENS GA
30606-2221
US

V. Phone/Fax

Practice location:
  • Phone: 706-425-9445
  • Fax: 706-425-0820
Mailing address:
  • Phone: 706-425-9445
  • Fax: 706-425-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JORDAN COLE PHILLIPS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 706-425-9445