Individual provider Active NPI

Luke Grimes Mentzer, PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1689213852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4191 Issued in TN
Practice address
7236 Bonny Oaks Dr
Chattanooga, TN 37421-1005
Phone
(423) 892-2319
Fax
(423) 892-2147
NPI assigned
Jan 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4191 TN Primary

Addresses

Primary practice location

7236 Bonny Oaks Dr
Chattanooga, TN 37421-1005

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200828001149 TN Practitioner - Physician Assistant 9133546609 Reassigns benefits to 2 organizations
I20201209000984 GA Practitioner - Physician Assistant 9133546609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

2400 N Ocoee St
Cleveland, TN 37311-3854
Phone (423) 624-2696

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4191TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince Jul 12, 2021 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Dec 1, 2020 Accepting new patients
Chattanooga Orthopaedic Group, PC CurrentSince Jul 12, 2021 Accepting new patients
Afc Physicians of Georgia Primary Care, PC CurrentSince Dec 1, 2020 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Dec 1, 2020 Accepting new patients
Afc Physicians of Georgia Urgent Care, PC Past Accepting new patients
Chattanooga Orthopaedic Group PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

4725 Battlefield Pkwy
Ringgold, GA 30736

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

7305 Jarnigan Rd
Ste 150
Chattanooga, TN 37421

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

2205 McCallie Ave
Ste 302
Chattanooga, TN 37404

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

7693 Rhea County Hwy
Ste 8
Dayton, TN 37321
Phone (423) 305-7980

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

24 Mountain View Dr
Ste A
Kimball, TN 37347
Phone (423) 942-9171

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Interoperability endpoints

  • Direct secure messaging: luke.mentzer.1@519.direct.athenahealth.com

Organizations & group practices 9

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 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": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1689213852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-308-0280",
            "fax_number": "423-870-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 BONNY OAKS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211005",
            "telephone_number": "423-892-2319",
            "fax_number": "423-892-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "LUKE",
        "middle_name": "GRIMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.