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MENLO FAMILY MEDICINE, PC
NPI 1154719623
Nurse Practitioner - Family in Menlo, GA

Active since January 06, 2015
2968 HWY 337, MENLO, GA 30731(706) 862-1717(706) 862-1718 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Menlo Family Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENLO FAMILY MEDICINE, PC (NPI 1154719623) is a healthcare organization registered as a family in Menlo, Georgia and active in the NPI registry since January 2015. The organization lists Connie Witt, Owner, as its authorized official.

NPPES Registry Identity

NPI1154719623
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMENLO FAMILY MEDICINE, PC
Location Address2968 HWY 337Menlo, GA 30731-0147
Mailing AddressPo Box 147, 7th AveMenlo, GA 30731-0147 · (706) 862-1717 · Fax (706) 862-1718
Phone(706) 862-1717
Fax(706) 862-1718
Organization SubpartNo
Authorized OfficialConnie WittOwner · (706) 857-8692
Enumeration DateJanuary 6, 2015
✔ NPI 1154719623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN045044
2968 HWY 337, Menlo, GA 30731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Menlo Family Medicine, PC's NPI number?

The NPI number for Menlo Family Medicine, PC is 1154719623. It was assigned to this organization in the NPPES registry on January 6, 2015.

Where is Menlo Family Medicine, PC located?

Menlo Family Medicine, PC is located at 2968 Hwy 337, Menlo, GA 30731. The listed phone number is (706) 862-1717.

What is Menlo Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Menlo Family Medicine, PC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.