Etherton T Jonga

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1005 Issued in TN

Practice address

1428 Sparta St Ste 4
McMinnville, TN 37110-1365

Phone

(931) 507-3668

Fax

(931) 507-6144

NPI assigned

Apr 5, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: etherton.jonga.1@18107.direct.athenahealth.com

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1790470987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 SPARTA ST STE 4",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101365",
            "telephone_number": "931-507-3668",
            "fax_number": "931-507-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Medical Center Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292248",
            "country_code": "US",
            "telephone_number": "615-801-8999",
            "fax_number": "615-801-8998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONGA",
        "first_name": "ETHERTON",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Stone Johnson, PTA
• Lisa Gaye Joines, LPN
• Erica Shae Jones, APRN
• Lacey L Jones, FNP
• Robert Houston Jones, D.D.S.P.C.
• Candace Lashae Keaton
• Coty Louis Keel, DPT
• Jessica Ann Keller, PTA, STMT
• Kyla Sue Killian, PHYSICAL THERAPIST
• Britt Allan King, OTR

• Foot & Ankle Surgery Podiatrist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.