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NPI 1740736024
● Active Type 2 · Organization
Mercer University
Orthopaedic Surgery · MacOn, GA · NPI 1740736024
·
Enumerated 2016 · 9 years on NPI
Mercer University is 1 of 1151 orthopaedic surgery organizations in Georgia.
NPI age
9 years
Enumerated 2016-08-28
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bass
Agent
Last NPPES update
2016-08-28
Source: monthly bulk 2026-05
How this organization compares
Across 1151 active orthopaedic surgery providers in Georgia.
NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2016 → 2026
2016-08 Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1501 Mercer University Dr
MacOn, GA 312071515
📞 4783012994
Mailing address
5050 Spring Valley Rd.
Dallas, TX 752443909
Authorized official
Mouzon Bass
Agent
📞 9723674845
Individual providers at this organization
20 individual providers on file at this primary practice address.
Alexis Bennett
Student in an Organized Health Care Education/Training Program
NPI 1356073340
Renee Boudreaux , ATC
Podiatrist
NPI 1770004715
Indya Brown
Emergency Medicine
NPI 1861976367
Janae Evans
Specialist/Technologist
NPI 1205673480
Chase Handley , ATC
Specialist/Technologist
NPI 1134673262
Aaron Herndon
Prevention Professional
NPI 1548796063
Bryan Hostetler
Emergency Medicine
NPI 1609403559
Carolyn Howard , ATC, LAT
Specialist/Technologist
NPI 1750835880
Koki Ikeda , ATC
Specialist/Technologist
NPI 1437822715
Kaleb Johnston , MD
Student in an Organized Health Care Education/Training Program
NPI 1841097367
Rachel Le
Specialist/Technologist
NPI 1427418854
Titania Lester
Specialist/Technologist
NPI 1568194553
Charles McCluskey
Clinic/Center
NPI 1386371953
Cody Partin , MS, ATC, LAT
Specialist/Technologist
NPI 1134643844
Elizabeth Pittman
Student in an Organized Health Care Education/Training Program
NPI 1457162471
Hollye Robinson
Specialist/Technologist
NPI 1598383234
Lee Scott
Specialist/Technologist
NPI 1689456766
Nicole Sibert
Specialist/Technologist
NPI 1609494343
Raquel Warrick , A.T.C
Specialist/Technologist
NPI 1922552926
Jessica Waters
Specialist/Technologist
NPI 1427676162
Specialties
Orthopaedic Surgery
Primary
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
GA license #036295 taxonomy 207X00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.