TIFTON ENDOSCOPY CENTER, INC. (NPI# 1063512945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063512945 |
| Entity Type | Organization |
| Organization Name | TIFTON ENDOSCOPY CENTER, INC. |
| Practice Address |
1111 20th St E Tifton GA 31794-3689 |
| Practice Telephone | 2293829338 |
| Practice Fax Number | 2293824282 |
| Mailing Telephone | 2293829338 |
| Mailing Fax Number | 2293824282 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | ELAINE CLEGHORN (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 2293829338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
111094ASCA | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00755675A | 05 |
| Street Address |
1111 20TH ST E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528126182 | South Georgia Medicine, P.C. | Internal Medicine | 1111 20th St E, Tifton, GA 31794-3689 | 2006-12-05 |
| 1508930082 | Terry Lee Morgan | Physician Assistant | 1111 20th St E, Tifton, GA 31794-3689 | 2006-11-17 |
| 1780755918 | Don Wayne Roberts | Internal Medicine | 1111 20th St E, Tifton, GA 31794-3689 | 2006-11-10 |
| 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 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659624666 | Tiftarea Surgical Partners, LLC | Clinic/Center | 1610 John Orr Dr, Suite H, Tifton, GA 31794-3682 | 2012-10-16 |
| 1295086049 | Womens Center for Advanced Surgery Inc | Clinic/Center | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2012-09-19 |
| 1407106933 | Urosurg, LLC | Clinic/Center | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 | 2012-09-12 |
| 1508896705 | Tiftarea Endoscopy Center, Inc. | Clinic/Center | 907 E. 18th Street, Suite 460, Tifton, GA 31794 | 2006-07-03 |
| 1437129723 | Affinity Outpatient Services | Clinic/Center | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
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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.