Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eleanor Marie Mentonelli, PA-C

Individual provider Surgical Physician Assistant · NPI 1215465943

Eleanor Marie Mentonelli, PA-C is a Physician Assistant in Gainesville, Georgia. Qualified in 2017, 9 years ago. Practices with Gwinnett Physician Group, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475
Phone: (770) 219-7099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7437 (GA)

Record details

NPI number1215465943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2017
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gwinnett Physician Group, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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