Faith Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAITH FAMILY PRACTICE LLC

Practice address

2100 Riverside Ave
Waycross, GA 31501-7020

Phone

(912) 490-7777

Fax

(912) 490-7778

NPI assigned

Dec 27, 2019

Last updated

Jan 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Elizabeth Page

Title

Owner

Phone

(912) 490-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Kristin Lamb Fenn, FNP

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1134520984
  Medicare reassignment Care Compare group NPD
• Clay A Lee, DO

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1215901509
  Medicare reassignment Care Compare group NPD
• Leanna Jaye Lewis, NP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1164796488
  Medicare reassignment Care Compare group NPD
• Tayler Hutto Allen, PA-C

  • Physician Assistant
  • Waycross, GA
  • NPI 1033965421
  Medicare reassignment Care Compare group
• Bradley Daniel Page, PA

  • Medical Physician Assistant
  • Waycross, GA
  • NPI 1265490098
  Medicare reassignment Care Compare group
• Roxy J Sheffield, P.A.

  • Medical Physician Assistant
  • Waycross, GA
  • NPI 1831456409
  Medicare reassignment Care Compare group
• Dillon Todd Veal, PA-C

  • Physician Assistant
  • Waycross, GA
  • NPI 1528649332
  Medicare reassignment Care Compare group
• Jerry Mullis, MD

  • Emergency Medicine Physician
  • Waycross, GA
  • NPI 1851314975
  Medicare reassignment NPD

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1649819343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315020741",
            "telephone_number": "912-490-7777",
            "fax_number": "912-490-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017020",
            "telephone_number": "912-490-7777",
            "fax_number": "912-490-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-490-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eye Care of Waycross PC
• Family Home Medical Equipment, LLC (Total Respiratory)
• Farr Healthcare Services, LLC (Circle of Friends ADH Center)
• Clemmie Mitchell Flanders, OTR/L
• Tammy Flannery, RN
• Flora Brown

• Family Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.