Ensign Family Medicine LLC
NPI 1770224495 · Family Medicine Physician · Waycross, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ensign Family Medicine LLC is a Family Medicine Physician organization in Waycross, GA (NPI 1770224495).
Provider details
- NPI number
- 1770224495
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shad Stormant, President(912) 490-5080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Frequently asked questions
- What is Ensign Family Medicine LLC's NPI number?
- Ensign Family Medicine LLC's National Provider Identifier (NPI) is 1770224495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ensign Family Medicine LLC?
- Ensign Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ensign Family Medicine LLC located?
- Ensign Family Medicine LLC's practice location on file with NPPES is 1302 Plant Ave, Waycross, GA 31501-3537.
- What is Ensign Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Ensign Family Medicine LLC is (912) 490-5080.
- Does Ensign Family Medicine LLC accept Medicare?
- Ensign Family Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ensign Family Medicine LLC?
- The authorized official listed on Ensign Family Medicine LLC's NPPES record is Shad Stormant, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ensign Family Medicine LLC's NPI active?
- Yes — Ensign Family Medicine LLC's NPI (1770224495) is active in the NPPES registry as of the last update on 2022-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.