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MONTAVIOUS T MCKENZIE
NPI 1760126643
Student in an Organized Health Care Education/Training Program in Moultrie, GA

Active since April 26, 2022
1 MAGNOLIA CT, MOULTRIE, GA 31768(229) 502-9753 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montavious T Mckenzie NPPES

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

MONTAVIOUS T MCKENZIE (NPI 1760126643) is an individual student in an organized health care education/training program in Moultrie, Georgia, licensed in Georgia (1) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1760126643
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMONTAVIOUS T MCKENZIE
Location Address1 MAGNOLIA CTMoultrie, GA 31768-6764
Mailing Address1 Magnolia CtMoultrie, GA 31768-6764 · (229) 502-9753
Phone(229) 502-9753
Sole ProprietorNo
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1760126643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 1
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MAGNOLIA CT, Moultrie, GA 31768
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTIAN GASTON EDWARDS DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
LISA ANN YOUNG DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9769
STERLING INTERNAL MEDICINE, LLC
Internal Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 890-1442
DR. ALLISON TRESNER DO
Student in an Organized Health Care Education/Training Program
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
LEO ENRIQUE LARIOS DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9769
DR. KEITH WOODWARD GRAMLING JR. DO
Psychiatry & Neurology (Psychiatry)
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
DINA BADAWY
Student in an Organized Health Care Education/Training Program
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
SHELBY MCCOY FLOWERS DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9769

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 Montavious Mckenzie's NPI number?

The NPI number for Montavious Mckenzie is 1760126643. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Montavious Mckenzie located?

Montavious Mckenzie practices at 1 Magnolia Ct, Moultrie, GA 31768. The listed phone number is (229) 502-9753.

What is Montavious Mckenzie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Montavious Mckenzie was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.