Organization Active NPI

Menke Investment, Inc

Doing business as Medi Weightloss Woodstock

  • Obesity Medicine (Internal Medicine) Physician
  • Woodstock, GA
National Provider Identifier
1023887684
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
MENKE INVESTMENT, INC
Doing business as
Medi Weightloss Woodstock
Practice address
12195 Highway 92 Ste 144
Woodstock, GA 30188-3603
Phone
(678) 540-7827
NPI assigned
Dec 25, 2023
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MENKE INVESTMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vanessa Menke
Title
Owner
Phone
(925) 595-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

12195 Highway 92 Ste 144
Woodstock, GA 30188-3603

Mailing address

306 Corrigan Trce
Peachtree City, GA 30269-3287
Phone (925) 595-4700

Other practice location 1

13190 Highway 92 Ste 110
Woodstock, GA 30188-4406
Phone (925) 595-4700

Other names 1

  • Medi Weightloss Woodstock Doing business as

National Provider Directory

National Provider Directory
Part of
Menke Investment Inc

Locations

277 Highway 74 N
Ste 210
Peachtree City, GA 30269
Phone (770) 628-5660

12195 Highway 92
Ste 144
Woodstock, GA 30188
Phone (678) 540-7827

13190 Highway 92
Ste 110
Woodstock, GA 30188
Phone (925) 595-4700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1023887684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CORRIGAN TRCE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693287",
            "telephone_number": "925-595-4700",
            "fax_number": "770-679-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 HIGHWAY 92 STE 144",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883603",
            "telephone_number": "678-540-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13190 Highway 92 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301884406",
            "country_code": "US",
            "telephone_number": "925-595-4700",
            "fax_number": "770-679-8752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENKE INVESTMENT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENKE INVESTMENT, INC",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "MENKE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-595-4700"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Woodstock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.