SOUTH GEORGIA PAIN MANAGEMENT (NPI# 1194020016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194020016 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA PAIN MANAGEMENT |
| Practice Address |
416 Tift Ave N Tifton GA 31794-4466 |
| Practice Telephone | 2293868800 |
| Practice Fax Number | 2293820739 |
| Mailing Telephone | 2293868800 |
| Mailing Fax Number | 2293820739 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | RYAN L BYRNES (OWNER) |
| Authorized Official Telephone | 2293868800 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008427 | GA | Chiropractic Providers |
| Street Address |
416 TIFT AVE N |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841457348 | Kyle Register | Chiropractor | 416 Tift Ave N, Tifton, GA 31794-4466 | 2008-05-21 |
| 1093077984 | South Georgia Eye Partners | Optometrist | 416 Tift Ave N, Tifton, GA 31794-4466 | 2012-06-15 |
| 1477874253 | South Georgia Eye Partners PC | Optometrist | 416 Tift Ave N, Tifton, GA 31794-4466 | 2010-06-16 |
| 1912140880 | Pamela Hanks | Massage Therapist | 416 Tift Ave N, Tifton, GA 31794-4466 | 2009-04-08 |
| 1538323589 | Center for Family Health and Wellness, LLC | Chiropractor | 416 Tift Ave N, Tifton, GA 31794-4466 | 2008-07-17 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651389 | Steven Paul Bernal | Chiropractor | 1444 Tift Ave N Ste B, Tifton, GA 31794-4619 | 2017-10-31 |
| 1962873083 | Sonya Dunn Fulp | Chiropractor | 1495 Kennedy Rd, Tifton, GA 31794-4159 | 2015-10-15 |
| 1922379593 | David K Edwards D.c., P.C. | Chiropractor | 201 Central Ave N Ste I, Tifton, GA 31794-4300 | 2012-01-13 |
| 1841457348 | Kyle Register | Chiropractor | 416 Tift Ave N, Tifton, GA 31794-4466 | 2008-05-21 |
| 1720152341 | David Kenneth Edwards | Chiropractor | 201 Central Ave N, Suite I, Tifton, GA 31794-4374 | 2006-11-17 |
| 1255415071 | Robert Scott Simmons | Chiropractor | 1434 Tift Ave N, Tifton, GA 31794-3538 | 2006-10-25 |
| 1528052248 | Dr. James A. Powell, Jr., D.c., P.C. | Chiropractor | 1444 Tift Ave N, Ste B, Tifton, GA 31794-4618 | 2005-09-08 |
| 1417401977 | Joshua Clifton Pridemore | Chiropractor | 2227 Us Highway 41 N, Tifton, GA 31794 | 2016-08-12 |
| 1922464825 | Fulp Spinal Wellness Center, LLC | Chiropractor | 1495 Kennedy Rd, Tifton, GA 31794-4159 | 2016-01-07 |
| 1750755344 | Jamie Fulp | Chiropractor | 1495 Kennedy Rd, Tifton, GA 31794-4159 | 2015-11-19 |
| Find all providers in TIFTON | ||||
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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.