Individual provider Active NPI

Allison Joy Anders Menke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greensboro, GA
National Provider Identifier
1457654899
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001138 Issued in GA
Practice address
1031 Village Park Dr
Ste 103
Greensboro, GA 30642-3755
Phone
(706) 999-9994
NPI assigned
Dec 7, 2010
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001138 GA Primary

Addresses

Primary practice location

1031 Village Park Dr
Ste 103
Greensboro, GA 30642-3755

Mailing address

1031 Village Park Dr
Ste 103
Greensboro, GA 30642-3755
Phone (706) 999-9994

Other identifiers 1

IdentifierTypeStateIssuer
52593148OtherGABCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000092 GA Practitioner - Podiatry 4486823671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1031 Village Park Dr
Suite 103
Greensboro, GA 30642-3755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.03 of 100Reported as individual
Quality
64.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue1200
Removal or shaving of skin growth487
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001138GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Da Vinci Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Nov 25, 2015 Accepting new patients
Lake Oconee Foot and Ankle LLC Current Accepting new patients

Locations

1031 Village Park Dr
Ste 103
Greensboro, GA 30642
Phone (706) 999-9994

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1457654899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 VILLAGE PARK DR",
            "address_2": "STE 103",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423755",
            "telephone_number": "706-999-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 VILLAGE PARK DR",
            "address_2": "STE 103",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423755",
            "telephone_number": "706-999-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "ALLISON",
        "middle_name": "JOY ANDERS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52593148",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.