Individual provider Active NPI

Donald D Menya, M.D.

  • Gynecologic Oncology Physician
  • Tifton, GA
National Provider Identifier
1194068601
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
84635 Issued in GA
Practice address
1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone
(229) 391-3500
Fax
(229) 391-3499
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 62430 WI
Gynecologic Oncology Physician 207VX0201X 84635 GA Primary
Obstetrics & Gynecology Physician 207V00000X 106671 MN

Addresses

Primary practice location

1948 Old Ocilla Rd
Tifton, GA 31794-1644

Mailing address

701 S Nicolet Rd
Appleton, WI 54914-8273
Phone (920) 886-2299

Other practice location 1

701 S Nicolet Rd
Appleton, WI 54914-8273
Phone (920) 886-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423001053 GA Practitioner - Obstetrics/Gynecology 5193966612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Obstetrics and Gynecology PCGroup PAC ID 6608835046, 5 clinicians

Practice addresses (Care Compare)

1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone (229) 391-3500

Hospital & facility affiliations

  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089
  • Southwell Medical, a Campus of TRMC Hospital, Adel, GA, CCN 110101
  • Bacon County Hospital Hospital, Alma, GA, CCN 111327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106671MNMDObstetrics & Gynecology Physician
62430WIMDObstetrics & Gynecology Physician
84635GAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Jun 1, 2024 Accepting new patients
Womens Center for Advanced Surgery Inc Current Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
United Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2024 Accepting new patients
Irwin County Anesthesia, Inc. PastSince Mar 1, 2001 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3320 Old Jefferson Rd
Ste 600
Athens, GA 30607
Phone (706) 549-4155

1060 Gaines School Rd
Ste A1
Athens, GA 30605
Phone (706) 353-8053

10600 Lochridge Blvd
Covington, GA 30014
Phone (229) 391-3500

484 Irvin Ct
Decatur, GA 30030
Phone (229) 391-3500

221 Shirley Ave
Douglas, GA 31533
Phone (912) 384-8800

1130 Hurricane Shoals Rd NE
Ste 2250
Lawrenceville, GA 30043
Phone (229) 391-3500

130 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 391-3500

514 S Main St
Moultrie, GA 31768

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

1948 Old Ocilla Rd
Tifton, GA 31794
Phone (229) 391-3500

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

3316 Greystone Way
Valdosta, GA 31605
Phone (229) 245-1123

1707 Watson Blvd
Ste 301
Warner Robins, GA 31093

140 Smithville Church Rd
Warner Robins, GA 31088
Phone (229) 391-3500

409 Uvalda St
Waycross, GA 31501
Phone (229) 391-3500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1194068601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NICOLET RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148273",
            "telephone_number": "920-886-2299",
            "fax_number": "920-886-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941644",
            "telephone_number": "229-391-3500",
            "fax_number": "229-391-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Nicolet Rd",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549148273",
            "country_code": "US",
            "telephone_number": "920-886-2299",
            "fax_number": "920-886-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENYA",
        "first_name": "DONALD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "62430",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "GA",
            "license": "84635",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "106671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.