ORTHOPEDIC SURGEONS OF GEORGIA, LLC (NPI# 1164857686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164857686 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA, LLC |
| Other Organization Name | OPTIM PAIN MANAGEMENT - TIFTON |
| Practice Address |
39 Kent Rd Tifton GA 31794-1698 |
| Practice Telephone | 2293878061 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MRS. LAVONDA CRAVEY (CONTROLLER) |
| Authorized Official Telephone | 9123835600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Pain Management - Tifton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568869170 | Orthopedic Surgeons of Georgia, LLC | Physical Medicine & Rehabilitation | 100 Doctors Dr, Suite F, Douglas, GA 31533-2210 | 2014-11-25 |
| 1760887996 | Orthopedic Surgeons of Georgia, LLC | Physical Medicine & Rehabilitation | 304 Westside Dr, Douglas, GA 31533-3530 | 2014-10-30 |
| Street Address |
39 KENT RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203920 | Eric G Massa | Podiatrist | 39 Kent Rd, Suite 9, Tifton, GA 31794-1649 | 2005-08-26 |
| 1124679014 | Tift Regional Health System Inc | Family Medicine | 39 Kent Rd, Suite 2, Tifton, GA 31794-1697 | 2019-09-23 |
| 1891235131 | Ankle and Foot Assoc, LLC | Podiatrist | 39 Kent Rd, Suite 9, Tifton, GA 31794-1698 | 2017-03-06 |
| 1205290939 | Lauren B Saxena | Dietitian, Registered | 39 Kent Rd, Suite 5, Tifton, GA 31794-1698 | 2016-04-08 |
| 1619310802 | Kelly Renae Grummer-smith | Registered Nurse | 39 Kent Rd, Suite 5, Tifton, GA 31794-1698 | 2013-04-08 |
| 1043552334 | Donna B Galliano | Nurse Practitioner | 39 Kent Rd, Suite 1, Tifton, GA 31794-1698 | 2013-03-25 |
| 1710224043 | Tift Regional Health System Inc | Family Medicine | 39 Kent Rd, Suite 1, Tifton, GA 31794-1698 | 2013-01-07 |
| 1093078388 | Bishara David Baddour | Obstetrics & Gynecology | 39 Kent Rd, Ste 1, Tifton, GA 31794-1698 | 2012-06-21 |
| 1285992073 | Kimberly Nicole Works | Pediatrics | 39 Kent Rd, Suite 5, Tifton, GA 31794-1698 | 2012-04-30 |
| 1225354525 | Flavia S Rossi | Pediatrics | 39 Kent Rd, Suite 5, Tifton, GA 31794-1698 | 2010-04-12 |
| Find all providers in the same location | ||||
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396095428 | Tift Regional Health System Inc | Clinic/Center | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970640 | Fx Spine and Performance Center, LLC | Clinic/Center | 106 Srp Dr Ste B, Evans, GA 30809-4358 | 2020-07-24 |
| 1083253140 | Intercare Medical, Corp | Clinic/Center | 3540 Wheeler Rd Ste 307, Augusta, GA 30909-1887 | 2020-01-06 |
| 1346763190 | Laser Spine & Pain Centers LLC | Clinic/Center | 403 Permian Way Ste C, Villa Rica, GA 30180-3252 | 2017-07-24 |
| 1164828976 | Atlanta Pain and Wellness Center PC | Clinic/Center | 1287 Ga Hwy 138 Spur Ste 8, Jonesboro, GA 30236-2419 | 2014-11-06 |
| 1790031664 | Nr Medical Center, LLC | Clinic/Center | 213 Arrowhead Blvd, Suite D, Jonesboro, GA 30236-1168 | 2012-07-30 |
| 1740566181 | Physical Medicine of Norcross | Clinic/Center | 6315 Spaulding Dr Ste B, Norcross, GA 30092-4653 | 2011-10-31 |
| 1407131899 | Cambridge Labs,llc | Clinic/Center | 611 15th St, Augusta, GA 30901-2601 | 2011-10-17 |
| 1043537905 | Primacare Pain & Rehab.,llc | Clinic/Center | 4467 Glenwood Rd, Suite 2, Decatur, GA 30032-5014 | 2010-04-30 |
| 1194994244 | Ernie E Lin | Clinic/Center | 211 Pleasant Home Road, Suite F-3, Augusta, GA 30907-0559 | 2008-02-22 |
| 1235354218 | Acworth Pain Management Center Inc | Clinic/Center | 5399 Bells Ferry Rd, Suite 180, Acworth, GA 30102-7546 | 2007-04-16 |
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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.