SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C. (NPI# 1407910607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407910607 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C. |
| Practice Address |
907 18th St E Ste 190 Tifton GA 31794-3600 |
| Practice Telephone | 2293913390 |
| Practice Fax Number | 2293913399 |
| Mailing Telephone | 2293913390 |
| Mailing Fax Number | 2293913399 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. ANTHONY GEORGE GIATRAS (OWNER) |
| Authorized Official Telephone | 2293913390 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
GA042576 | GA | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
GA042576 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
907 18TH ST E STE 190 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3600 |
| 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 | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053891903 | Complete Neuro, LLC | Psychiatry & Neurology | 55 Craigs Ln, Tifton, GA 31794-9126 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1023665742 | Chief Medical Services, LLC | Psychiatry & Neurology | 395 Eagles Pass, Alpharetta, GA 30004-4533 | 2019-08-19 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1811495989 | Pediatric Epilepsy and Child (peach) Neurology | Psychiatry & Neurology | 5935 Thoroughbred Way, Suwanee, GA 30024-1744 | 2018-01-24 |
| 1053658146 | Syntact, LLC | Psychiatry & Neurology | 1495 Natchez Way, Grayson, GA 30017-2930 | 2013-01-09 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1669654836 | Heidi Doss Riney | Psychiatry & Neurology | 4265 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | 2007-11-29 |
| 1497736045 | Plamen P Todorow | Psychiatry & Neurology | 105 Willowbrook Way Se, Calhoun, GA 30701 | 2005-11-10 |
| 1518598945 | Cameron Christopher Adam Smothers | Psychiatry & Neurology | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2020-02-04 |
| 1508393208 | Neurology and Neurodiagnostic LLC | Psychiatry & Neurology | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2017-05-12 |
| 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.