Active NPI
Gilda Lee Mendez, RN
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Augusta, GA
National Provider Identifier
1952481376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 148342
- Practice address
- 3421 Mike Padgett Hwy
Augusta, GA 30906-3815 - Phone
- (706) 432-4858
- Fax
- (706) 432-3780
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 148342 | GA | Primary |
Addresses
Primary practice location
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Mailing address
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 432-4858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148342 | GA | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952481376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 MIKE PADGETT HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "706-432-4858",
"fax_number": "706-432-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 MIKE PADGETT HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "706-432-4858",
"fax_number": "706-432-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "GILDA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "GA",
"license": "148342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.