DONALD D MENYA (NPI# 1194068601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194068601 |
| Entity Type | Individual |
| Full Name | DONALD D MENYA |
| Credential | M.D. |
| Practice Address |
1948 Old Ocilla Rd Tifton GA 31794-1644 |
| Mailing Address |
701 S Nicolet Rd Appleton WI 54914-8273 |
| Practice Telephone | 2293913500 |
| Practice Fax Number | 2293913499 |
| Mailing Telephone | 9208862299 |
| Mailing Fax Number | 9208861039 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 62430 | WI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 106671 | MN | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
84635 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 S Nicolet Rd, Appleton, WI 549148273 | 9208862299 | 9208861039 |
| Street Address |
1948 OLD OCILLA RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649281064 | James Andrew Howard | Obstetrics & Gynecology | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2006-08-10 |
| 1285234245 | Tarah Wilson | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2020-10-29 |
| 1568008787 | Molly Bailey | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2019-11-22 |
| 1508426990 | Kristi H Freeman | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2019-06-18 |
| 1538724729 | Valerie Smith | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794 | 2019-05-03 |
| 1306301866 | Yetnayet Tessema | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2019-02-08 |
| 1003388273 | Janet Waldron | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794 | 2018-12-27 |
| 1104391002 | Margaret Anne Brock | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2018-10-06 |
| 1346723731 | Pat Olivas | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2018-09-11 |
| 1013493121 | Kayla Morey | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2018-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174880223 | Ernest Washington Franklin IIi | Obstetrics & Gynecology | 1 Bookhaven Dr., Suite 400, Atlanta, GA 30319-3059 | 2012-04-13 |
| 1740579390 | Marian Symmes Johnson | Obstetrics & Gynecology | 682 Hemlock St Ste 210, Macon, GA 31201 | 2011-04-05 |
| 1912118324 | Namita Khanna | Obstetrics & Gynecology | 1365 A Clifton Rd, Building Aa, 4'th Floor, Atlanta, GA 30332-2200 | 2007-05-25 |
| 1417060112 | Ainsworth Gatewood Dudley | Obstetrics & Gynecology | 401 S Lee St, Americus, GA 31709-3917 | 2006-08-16 |
| 1265465140 | Evelyn A Reynolds | Obstetrics & Gynecology | 2500 Hospital Blvd Ste 410, Roswell, GA 30076 | 2006-07-07 |
| 1245260884 | Ira Robert Horowitz | Obstetrics & Gynecology | Department of Gynecology and Obstetrics, 1365 Clifton Road, N.e., Atlanta, GA 30322-0001 | 2006-07-03 |
| 1780650283 | Matthew O Burrell | Obstetrics & Gynecology | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-02-24 |
| 1598750945 | William Edward Richards | Obstetrics & Gynecology | 5353 Reynolds St Ste 200, Savannah, GA 31405-6087 | 2005-09-13 |
| 1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
| 1831699966 | Keianna S Haley | Obstetrics & Gynecology | 3240 Avalon Blvd, Conyers, GA 30013-6320 | 2018-02-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.