P Praxis·MD
● Active Type 1 · Individual

Heather Marie Goodwin Mancebo

Family Medicine·Monroe, GA· NPI 1689802068 · Enumerated 2009 · 16 years on NPI
Mancebo is 1 of 25 family medicine providers in Monroe and 1 of 5448 in Georgia.
NPI age
16 years
Enumerated 2009-06-24
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
GA, NY, MD
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
2130 W Spring Street, Suite 300
Monroe, GA 30655
📞 6789059121
Mailing address
296 Hamby Ln
Social Circle, GA 300254851

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #96784NY license #282980MD license #D0074885 taxonomy 207Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Monroe in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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