Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ensign Family Medicine LLC

Organization Family Medicine Physician · NPI 1770224495

Ensign Family Medicine LLC is a Family Medicine Physician in Waycross, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1302 Plant Ave
Waycross, GA 31501-3537
Phone: (912) 490-5080
Fax: (912) 490-5081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770224495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shad Stormant — President · (912) 490-5080
NPI enumeratedApril 5, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address1302 Plant Ave, Waycross, GA 31501-3537

Other providers in Waycross