NEW MEDICAL CENTER (NPI# 1760660203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760660203 |
| Entity Type | Organization |
| Organization Name | NEW MEDICAL CENTER |
| Other Organization Name | KIDS CARE CLINIC |
| Practice Address |
1610 John Orr Dr Bldg E Tifton GA 31794-3682 |
| Practice Telephone | 2293865101 |
| Practice Fax Number | 2293862277 |
| Mailing Telephone | 2293865101 |
| Mailing Fax Number | 2293862277 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | DR. NANDLAL CHAINANI (CEO) |
| Authorized Official Telephone | 2293865101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 63840 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 44893 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202G701254 | 01 |
| GA | 7959569408A | 05 |
| Other Name | Type Code |
|---|---|
| KIDS CARE CLINIC | Former Legal Business Name - Organization |
| Street Address |
1610 JOHN ORR DR BLDG E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952482135 | Nandlal Chainani | Pediatrics | 1610 John Orr Dr, Bldg E, Tifton, GA 31794-3682 | 2006-10-17 |
| 1922543024 | Bridgette C Harper | Nurse Practitioner | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2016-12-27 |
| 1609262773 | Tift County Hospital Authority | Orthopaedic Surgery | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2015-04-15 |
| 1063758597 | Mark Raymond Westra | Physical Therapist | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2013-01-03 |
| 1659624666 | Tiftarea Surgical Partners, LLC | Clinic/Center | 1610 John Orr Dr, Suite H, Tifton, GA 31794-3682 | 2012-10-16 |
| 1932480589 | Chase Benjamin Spell | Physician Assistant | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2011-09-08 |
| 1871804641 | Navdeepa Chainani | Family Medicine | 1610 John Orr Dr, Bldg E, Tifton, GA 31794-3682 | 2010-06-28 |
| 1023217171 | Georgia Sports Medicine and Orthopedic Clinic, PC | Orthopaedic Surgery | 1610 John Orr Dr, Suite A, Tifton, GA 31794-3682 | 2007-07-17 |
| 1538299888 | Ales Caleb Ridley | Physician Assistant | 1610 John Orr Dr, Tifton, GA 31794 | 2007-03-06 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1750402731 | Nikkia F. Johnson | Pediatrics | 39 Kent Rd Ste 5, Tifton, GA 31794-1697 | 2007-04-03 |
| 1952482135 | Nandlal Chainani | Pediatrics | 1610 John Orr Dr, Bldg E, Tifton, GA 31794-3682 | 2006-10-17 |
| 1932556453 | Priscilla Amoah | Pediatrics | 39 Kent Rd Ste 5, Tifton, GA 31794-1697 | 2016-05-16 |
| 1619322328 | Nicholas Webster | Pediatrics | 39 Kent Rd Ste 5, Tifton, GA 31794-1697 | 2016-05-01 |
| 1891106795 | Henry Leboyd IIi | Pediatrics | 901 18th St E, Tifton, GA 31794-3648 | 2014-05-13 |
| 1184042228 | Rebecca Condon Staub | Pediatrics | 39 Kent Rd Ste 5, Tifton, GA 31794-1697 | 2014-04-05 |
| 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 |
| 1073849337 | Noreen Mian | Pediatrics | 901 18th St E, Tifton, GA 31794-3648 | 2009-10-21 |
| 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.