Provider Demographics
NPI:1407501976
Name:MCMERTY, ANDREW (NP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MCMERTY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 17TH ST NW UNIT 1234
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1049
Mailing Address - Country:US
Mailing Address - Phone:404-301-7877
Mailing Address - Fax:
Practice Address - Street 1:400 17TH ST NW UNIT 1234
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30363-1049
Practice Address - Country:US
Practice Address - Phone:404-301-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA277775363LP0808X
GARN277775363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health