DR. WILLIAM LESLIE HORNBACK IV (NPI# 1871619130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871619130 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LESLIE HORNBACK IV |
| Credential | M.D. |
| Practice Address |
1007 Greenfield Dr Tifton GA 31794-3795 |
| Mailing Address |
907 18th St E Suite 150 Tifton GA 31794-3643 |
| Practice Telephone | 2293829733 |
| Mailing Telephone | 2293829733 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 066548 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 57010975 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316964208 | William Leslie Hornback IIi | Orthopaedic Surgery | 1622 Madison Avenue, Tifton, GA 31794-1228 | 2006-07-16 |
| Street Address |
1007 GREENFIELD DR |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792929 | Forte David Mceachin | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-01 |
| 1235588518 | Lindsey Shea Mccranie Seagraves | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2016-06-08 |
| 1912315094 | Tift Regional Health System Inc | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2014-08-01 |
| 1639423189 | Courtney Brooke Stevens | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2012-11-06 |
| 1518257393 | Allison Marie Bell | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2011-04-13 |
| 1750686507 | Laura Sumner | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794 | 2011-01-25 |
| 1033343066 | Tift Regional Health System Inc | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2009-05-05 |
| 1154356889 | Bradley T Holt | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-07-11 |
| 1770544694 | South Georgia Surgical Clinic PC | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-30 |
| 1063481224 | Judy E Weaver | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-17 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792929 | Forte David Mceachin | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-01 |
| 1649247370 | Joel M Johnson | Surgery | 1007 Greenfield Drive, Tifton, GA 31794-3795 | 2006-03-01 |
| 1912315094 | Tift Regional Health System Inc | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2014-08-01 |
| 1033430814 | Tracy Nolan | Surgery | 1007 Greenfield Drive, Tifton, GA 31794 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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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.