Healthcare Provider Details

I. General information

NPI: 1083535918
Provider Name (Legal Business Name): MEDICAL PARTNERS OF MIDDLE GA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1343 US 82 W
LEESBURG GA
31763-5334
US

IV. Provider business mailing address

711 N WESTOVER BLVD STE A
ALBANY GA
31707-1410
US

V. Phone/Fax

Practice location:
  • Phone: 229-854-4111
  • Fax:
Mailing address:
  • Phone: 229-405-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RONI WEEKS
Title or Position: CHIEF OF OPERATIONS
Credential:
Phone: 229-854-4111