Active NPI
Juan Francisco Vasquez Mendez, MD
- Endocrinology, Diabetes & Metabolism Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 103094
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103094 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Critical Care Medicine (Internal Medicine) Physician
- Marietta, GA
- NPI 1669817995
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.