NPI age
9 years
Enumerated 2017-03-14
● Active
Type 1 · Individual
Jorge Roberto Menjivar, NP-C
Menjivar is 1 of 90 nurse practitioner providers in McDonough and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Practice location
105 Honey Ln
McDonough, GA 302526633
Mailing address
105 Honey Ln
McDonough, GA 302526633
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | AP61443567 | LICENSE |
| 01 (NV) | 865069 | LICENSE |
| 01 (CA) | 95026632 | LICENSE |
| 01 (OR) | 10006776 | LICENSE |
| 01 (GA) | RN204394 | LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new nurse practitioner providers have been added in McDonough in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.