Active NPI
Luke Grimes Mentzer, PA-C
- Physician Assistant
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4191
- 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
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 |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Affiliate of Vitruvian Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4191 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Orthopaedic Group, PC | Current | Accepting new patients | |
| Afc Physicians of Tennessee, PC | Current | Accepting new patients | |
| Chattanooga Orthopaedic Group, PC | Current | Accepting new patients | |
| Afc Physicians of Georgia Primary Care, PC | Current | Accepting new patients | |
| Afc Physicians of Tennessee, PC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Ft. Oglethorpe, GA
- NPI 1780062380
GA
-
- General Practice Physician
- Hendersonville, TN
- NPI 1376884064
-
- General Practice Physician
- Knoxville, TN
- NPI 1649647249
-
- Orthopaedic Surgery Physician
- Dayton, TN
- NPI 1013899038
-
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1629267158
-
- Orthopaedic Surgery Physician
- Hixson, TN
- NPI 1619165834
-
- Urgent Care Clinic/Center
- Marietta, GA
- NPI 1225617525
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
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
- Teresa Ann Mendez, APRN
- Josue B Mendoza
- Mental Health Centers & Clinics of Tennessee
- Mental Health Centers & Clinics of Tennessee
- Mental Health Therapy Center - Chattanooga, LLC
- Aveliza Mercado, LAC
- Jennifer Denise Mercer, DNP, MSN, CNM
- Merchant Act, LLC
- Christopher Rajan Merchant, PT, DPT, OCS
- Mercury Cab Co.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.