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JORGE ROBERTO MENJIVAR NP-C
NPI 1740721521
Nurse Practitioner - Family in Mcdonough, GA

Active since March 14, 2017
105 HONEY LN, MCDONOUGH, GA 30252(803) 873-8626(803) 878-8099 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Mar 14, 2017 (2 updates tracked since 2017).

About Jorge Roberto Menjivar Np-c NPPES

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

JORGE ROBERTO MENJIVAR NP-C (NPI 1740721521) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (RN204394) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1740721521
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORGE ROBERTO MENJIVARCredential: NP-C
Location Address105 HONEY LNMcdonough, GA 30252-6633
Mailing Address105 Honey LnMcdonough, GA 30252-6633 · (678) 466-0803 · Fax (770) 692-8177
Phone(803) 873-8626
Fax(803) 878-8099
Sole ProprietorNo
Enumeration DateMarch 14, 2017
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1740721521 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 · RN204394
105 HONEY LN, Mcdonough, GA 30252
Open in Google Maps ↗

Other Identifiers 5

OtherAP61443567WA · License
Other865069NV · License
Other95026632CA · License
Other10006776OR · License
OtherRN204394GA · License

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 Jorge Menjivar's NPI number?

The NPI number for Jorge Menjivar is 1740721521. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Jorge Menjivar located?

Jorge Menjivar practices at 105 Honey Ln, Mcdonough, GA 30252. The listed phone number is (803) 873-8626.

What is Jorge Menjivar'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 Jorge Menjivar was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.