OrganizationActive
Menlo Family Medicine, PC
NPI 1154719623 · Family Nurse Practitioner · Menlo, GA
Provider details
- NPI number
- 1154719623
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Connie Witt, Owner(706) 857-8692
- License
- RN045044 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2968 Hwy 337
Menlo, GA 30731-0147
Phone: (706) 862-1717
Fax: (706) 862-1718
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 147
Menlo, GA 30731-0147
Registry dates
- Enumerated
- 2015-01-06
- Last updated
- 2015-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.