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

Heather Marie Goodwin Mancebo

Individual provider Family Medicine Physician · NPI 1689802068

Heather Marie Goodwin Mancebo is a Family Practice in Monroe, Georgia. Graduated from Eastern Virginia Medical School in 2009, 17 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia, Maryland and New York.

Years since qualifying
17
Trained at
Eastern Virginia Medical School
Licensed in
GA, MD, NY
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

2130 W Spring St Ste 300
Monroe, GA 30655
Phone: (678) 905-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 96784 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 282980 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0074885 (MD)

Record details

NPI number1689802068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESAugust 18, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe