GEORGIA GRIFFIS (NPI# 1053498840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053498840 |
| Entity Type | Individual |
| Full Name | GEORGIA GRIFFIS |
| Credential | PA |
| Practice Address |
907 18th St E Tifton GA 31794-3643 |
| Practice Telephone | 2293913320 |
| Mailing Telephone | 2293913320 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002893 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 002893 | 01 |
| GA | 100002396A | 05 |
| Street Address |
907 18TH ST E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558805 | Norris Kent Burton | Family Medicine | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2005-09-13 |
| 1083148092 | Angela Lynn Vannortwick | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2017-04-17 |
| 1295133916 | Tift Regional Health System Inc | Family Medicine | 907 18th St E, Suite 130, Tifton, GA 31794-3643 | 2014-12-11 |
| 1306244090 | Tift Regional Health System Inc | Clinic/Center | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2014-12-11 |
| 1295139673 | Gerlana S Vargas | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2014-10-14 |
| 1356778435 | Lee Michelle Brooks | Social Worker | 907 18th St E, Suite 150, Tifton, GA 31794-3643 | 2013-10-03 |
| 1790125813 | Elizabeth Ellen Smith | Nurse Practitioner | 907 18th St E, Suite 290, Tifton, GA 31794-3643 | 2013-07-03 |
| 1790026938 | Jessica L Patrick | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2013-03-13 |
| 1093050734 | Vernita S Moore | Nurse Practitioner | 907 18th St E, Suite 260, Tifton, GA 31794-3643 | 2012-12-06 |
| 1821128778 | Charles Derron Spikes | Plastic Surgery | 907 18th St E, Ste 340, Tifton, GA 31794-3643 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510244 | Deanna Setters Sanders | Physician Assistant | 1824 Lee Ave, Tifton, GA 31794-3639 | 2006-10-11 |
| 1275562266 | Thomas S Kraemer | Physician Assistant | 2735 Central Ave S, Tifton, GA 31794-5645 | 2006-07-02 |
| 1124020425 | Robert Jay Muterspaugh | Physician Assistant | 802 18th St E, Tifton, GA 31794-3661 | 2005-06-01 |
| 1407481146 | Justin Hugh Roberts | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2020-03-03 |
| 1639423189 | Courtney Brooke Stevens | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2012-11-06 |
| 1710257696 | Leigh Fountain Curtis | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2012-01-09 |
| 1518257393 | Allison Marie Bell | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2011-04-13 |
| 1942512561 | Kathryn Blevins | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2010-07-12 |
| 1437381266 | Russell During | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2009-08-12 |
| 1093976508 | Shaina Linell Mcgordon | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2008-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.