THE ORTHOPEDIC SPINE CENTER (NPI# 1558680462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558680462 |
| Entity Type | Organization |
| Organization Name | THE ORTHOPEDIC SPINE CENTER |
| Practice Address |
1622 Madison Ave Tifton GA 31794-3756 |
| Practice Telephone | 2293885625 |
| Mailing Telephone | 2293885625 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | DR. HEWATT M SIMS (OWNER/MANAGING MEMBER) |
| Authorized Official Telephone | 2293885625 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 048965 | GA | Ambulatory Health Care Facilities |
| Street Address |
1622 MADISON AVE |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437331006 | Tifton Orthopaedic Clinic, PC | Specialist | 1622 Madison Ave, Tifton, GA 31794-3756 | 2007-12-05 |
| 1003305707 | Harley's Endeavors, LLC | Non-Pharmacy Dispensing Site | 1622 Madison Ave, Tifton, GA 31794-3756 | 2018-05-08 |
| 1417470162 | Vicy Wiggins Carroll | Nurse Practitioner | 1622 Madison Ave, Tifton, GA 31794-3756 | 2017-07-24 |
| 1841617602 | Rodney A Mullins | Nurse Practitioner | 1622 Madison Ave, Tifton, GA 31794-3756 | 2014-03-18 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1740428838 | Tift Regional Health System Inc | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2009-01-27 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306244090 | Tift Regional Health System Inc | Clinic/Center | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2014-12-11 |
| 1003980996 | Tift County Hospital Authority | Clinic/Center | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-20 |
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|---|---|---|---|---|
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| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| 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.