P Praxis·MD
● Active Type 2 · Organization

Mercer University School Of Medicine

Student in an Organized Health Care Education/Training Program·MacOn, GA· NPI 1659705986 · Enumerated 2013 · 12 years on NPI
Mercer University School Of Medicine is 1 of 6569 student in an organized health care education/training program organizations in Georgia.
NPI age
12 years
Enumerated 2013-08-22
Primary specialty
Student in an Organized Health Care Education/Training Program
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
House
SR. Associate Dean For Admissions
Last NPPES update
2013-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
12 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
1400 Coleman Ave
MacOn, GA 312070001
📞 4783012700
Mailing address
1400 Coleman Ave
MacOn, GA 312070001

Authorized official

Alice House, M.D.
SR. Associate Dean For Admissions
📞 4783012531

Individual providers at this organization

8 individual providers on file at this primary practice address.

  • Stacy Arend, ATC Specialist/Technologist NPI 1518126663
  • Kristin Bourque, ATC Specialist/Technologist NPI 1285747642
  • Jesse Kolodziejski, ATC Specialist/Technologist NPI 1174835524
  • Justin Law, MD Emergency Medicine NPI 1962750323
  • Jacob Milliner Student in an Organized Health Care Education/Training Program NPI 1730996935
  • Tipton Sholes Student in an Organized Health Care Education/Training Program NPI 1205245016
  • Hannah Smith, ATC Specialist/Technologist NPI 1750547527
  • Annalee Wittmeyer, M.D. Student in an Organized Health Care Education/Training Program NPI 1770917155

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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