Healthcare Provider Details

I. General information

NPI: 1780406579
Provider Name (Legal Business Name): GREGORY ARTHUR MERCIER DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 W 10TH ST NE
ROME GA
30165-2640
US

IV. Provider business mailing address

970 COUNTY ROAD 112
CENTRE AL
35960-7009
US

V. Phone/Fax

Practice location:
  • Phone: 706-690-4772
  • Fax:
Mailing address:
  • Phone: 352-275-1295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP005035
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-201079
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: