Larry Russell Moorman Sr. (NPI# 1518978881, PAC ID# 0143334128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1518978881 |
| PAC ID by PECOS | 0143334128 |
| Professional Enrollment ID | I20101208000214 |
| Full Name | Larry Russell Moorman Sr. |
| Organization Legal Name | TIFTON OPHTHALMOLOGY ASSOCIATES. PC |
| Address |
1803 Old Ocilla Rd Tifton GA 31794-1617 |
| Phone Number | 2293862181 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1973 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5597087718 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2293862181 | TIFTON OPHTHALMOLOGY ASSOCIATES. PC |
| Organization Legal Name | TIFTON OPHTHALMOLOGY ASSOCIATES. PC |
| Physicians | 1 |
| Street Address |
1803 OLD OCILLA RD |
| City | TIFTON |
| State | GA |
| Zip | 31794-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan L Byrnes | Chiropractic | Tift Regional Health System, Inc. | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Robert Jon Holme | Ophthalmology | Tift Regional Health System, Inc. | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Christopher Allen Pate | Nurse Practitioner | Tift Regional Health System, Inc. | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Bret B Wagenhorst | Ophthalmology | Tift Regional Health System, Inc. | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TIFTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Larry Russell Moorman Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.