Aldrich Villamin Mendoza, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

062916 Issued in GA

Practice address

251 Highway 53 E
Calhoun, GA 30701-3026

Phone

(706) 625-4410

Fax

(706) 625-4447

NPI assigned

Mar 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Family Health LLCGroup PAC ID 2567855166, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Allied Family Health LLC

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1336800721
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1437329661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1882",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30162",
            "telephone_number": "706-509-3000",
            "fax_number": "706-509-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HIGHWAY 53 E",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013026",
            "telephone_number": "706-625-4410",
            "fax_number": "706-625-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ALDRICH",
        "middle_name": "VILLAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Lynn McTaggart, CSFA
• Med-Trans Corporation
• Medrx Bracing LLC
• Shaunda Mejeur, LPC
• Dagmawit Assefa Mekuria, MD
• Raviprakash Reddy Mereddy, DMD
• Dayna Mesa Chaviano
• Douglas Andy Meyer, PT
• Mark A. Meyer, PA-C, ATC
• Patrick Hunter Meyer, M.D.

• Family Medicine Physician in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.

Verify at the official NPI Registry.