WILLIAM LESLIE HORNBACK III (NPI# 1316964208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316964208 |
| Entity Type | Individual |
| Full Name | WILLIAM LESLIE HORNBACK III |
| Credential | MD |
| Practice Address |
1622 Madison Avenue Tifton GA 31794-1228 |
| Practice Telephone | 2293885625 |
| Practice Fax Number | 2293536377 |
| Mailing Telephone | 2293885625 |
| Mailing Fax Number | 2293536377 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 20741 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871619130 | William Leslie Hornback Iv | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2007-03-21 |
| Street Address |
1622 MADISON AVENUE |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1228 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528163102 | James William Scott | Orthopaedic Surgery | 2227 Us Hwy 41 N, Tifton, GA 31794 | 2006-09-14 |
| 1376920488 | Tift Regional Health System Inc | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2015-04-28 |
| 1609262773 | Tift County Hospital Authority | Orthopaedic Surgery | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2015-04-15 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1184914319 | Kyle Fleck | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2011-04-08 |
| 1740428838 | Tift Regional Health System Inc | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2009-01-27 |
| 1023217171 | Georgia Sports Medicine and Orthopedic Clinic, PC | Orthopaedic Surgery | 1610 John Orr Dr, Suite A, Tifton, GA 31794-3682 | 2007-07-17 |
| 1548340284 | Edward William Hellman | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2006-10-17 |
| 1730269473 | William Morgan Smith | Orthopaedic Surgery | 2227 Us Hwy 41n, Tifton, GA 31794 | 2006-10-17 |
| 1497740906 | David M Banks | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2005-09-12 |
| Find all providers in TIFTON | ||||
Please comment or provide details below to improve the information on WILLIAM LESLIE HORNBACK III.
| 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.