Individual provider Active NPI

Juan Francisco Vasquez Mendez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lagrange, GA
National Provider Identifier
1053918102
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
103094 Issued in GA
Practice address
106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704
Phone
(706) 803-8500
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 103094 GA Primary

Addresses

Primary practice location

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704

Mailing address

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704
Phone (762) 888-1430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juan.vasquezmendez@wellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000222 GA Practitioner - Endocrinology 0143734244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

106 Old Mill Rd
Suite 100
Lagrange, GA 30241-6704
Phone (706) 803-8500

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103094GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

106 Old Mill Rd
Ste 100
Lagrange, GA 30241
Phone (706) 803-8270

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1053918102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OLD MILL RD STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "762-888-1430",
            "fax_number": "762-706-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OLD MILL RD STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-803-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ MENDEZ",
        "first_name": "JUAN",
        "middle_name": "FRANCISCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "103094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.vasquezmendez@wellstar.org",
            "affiliation": "N",
            "address_1": "106 Old Mill Rd Ste 100",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302416704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.