Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Anne Mencio, MD

Individual provider Surgery Physician · NPI 1609295534

Marissa Anne Mencio, MD is a General Surgery in Hermitage, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2014, 12 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Tennessee.

Years since qualifying
12
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
NY, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 Central Pike Ste 351
Hermitage, TN 37076
Phone: (615) 889-8802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Springhouse Ct Ste 210, Hendersonville, TN 37075-1610 — (615) 889-8802
  • 920 S Hartmann Dr Ste 100, Lebanon, TN 37090 — (615) 889-8802

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 61783 (TN)
Surgery Physician Taxonomy 208600000X · Licence 298487-1 (NY)

Record details

NPI number1609295534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2014
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hermitage