Healthcare Provider Details

I. General information

NPI: 1831022557
Provider Name (Legal Business Name): MERCY HEALTH MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 RACETRACK RD
MCDONOUGH GA
30252-6834
US

IV. Provider business mailing address

255 RACETRACK RD
MCDONOUGH GA
30252-6834
US

V. Phone/Fax

Practice location:
  • Phone: 478-718-8818
  • Fax:
Mailing address:
  • Phone: 478-718-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: JAMES ROBERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 478-718-8818