Individual provider Active NPI

Gina Mendoza, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hendersonville, TN
National Provider Identifier
1992805220
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
670 Issued in TN
Practice address
353 New Shackle Island Rd
Suite 120B
Hendersonville, TN 37075-2379
Phone
(615) 452-8899
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 670 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd
Suite 120B
Hendersonville, TN 37075-2379

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 826-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070206000523 TN Practitioner - Podiatry 9638171556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

353 New Shackle Island
Roasuite 110 a
Hendersonville, TN 37075
Phone (615) 264-4785

Hospital & facility affiliations

  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue347
Removal of skin lesions64
Removal of nail tissue584
Removal or shaving of skin growth310
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Jun 1, 2019 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 1, 2019 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

353 New Shackle Island Rd
Ste 110A
Hendersonvlle, TN 37075
Phone (615) 264-4785

353 New Shackle Island Rd
Ste 120B
Hendersonvlle, TN 37075
Phone (615) 452-8899

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: gina.mendoza@ahp.eclinicaldirectplus.com

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 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1992805220",
    "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": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 120B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-452-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831719",
            "country_code": "US",
            "telephone_number": "615-826-0941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "GINA",
        "name_prefix": "Miss",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.