NPI age
17 years
Enumerated 2008-09-10
● Active Type 2 · Organization
Subpart
Mercy Medical Supply Llc
Mercy Medical Supply Llc is 1 of 192 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
President/owner
Last NPPES update
2018-08-31
Source: monthly bulk 2026-05
How this organization compares
Across 192 active durable medical equipment & medical supplies providers in Georgia.
NPI age
17 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3584 Highway 138 Se
Stockbridge, GA 30281
Mailing address
3584 Highway 138 Se
Stockbridge, GA 302814171
Authorized official
Jacqueline Kay Johnson
President/owner
📞 7705069944
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 076482217A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mercy Medical Supply, LLC
-
Mercy Medical Supply, LLC
Practice context
Single-site organization. Only one practice location on file.
Subpart of Mercy Medical Supply, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.