Timantha D Booth (NPI# 1265748867, PAC ID# 3577744465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265748867 |
| PAC ID by PECOS | 3577744465 |
| Professional Enrollment ID | I20110225000107 |
| Full Name | Timantha D Booth |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Address |
308 N Parrish Ave Adel GA 31620-2353 |
| Phone Number | 2298968500 |
| Gender | F |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193619971 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110101 | COOK MEDICAL CENTER A CAMPUS OF TIFT REG MED CTR |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 308 N Parrish Ave, Adel, GA 31620-2353 | 2298968500 | TIFT REGIONAL HEALTH SYSTEM, INC. |
| 2225 Us Hwy 41 N, Tifton, GA 31794-2749 | 2293914100 | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda K Knight | Urology | Tift Regional Health System, Inc. | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Nancy Caroline Roe | Nurse Practitioner | Tift Regional Health System, Inc. | 2735 Central Ave S, Tifton, GA 31794-5645 |
| Joshua Clifton Pridemore | Chiropractic | Tift Regional Health System, Inc. | 1602 Madison Ave, Tifton, GA 31794-3756 |
| Anna M Demott Money | Nurse Practitioner | Tift Regional Health System, Inc. | 416 A E Mcpherson Ave, Nashville, GA 31639-2276 |
| Kyle E Fleck | Orthopedic Surgery | Tift Regional Health System, Inc. | 1610 John Orr Dr, Tifton, GA 31794-3682 |
| Christopher David Floyd | Nurse Practitioner | Tift Regional Health System, Inc. | 1623 Old Ocilla Rd, Tifton, GA 31794-4173 |
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Angela Lynn Vannortwick | Nurse Practitioner | Tift Regional Health System, Inc. | 907 18th St E, Suite 490, Tifton, GA 31794-3684 |
| Jason M Allen | Anesthesiology Assistant | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Lindsey Coffee Mcclain | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Street Address |
308 N PARRISH AVE |
| City | ADEL |
| State | GA |
| Zip | 31620-2353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent G Valencia | Family Medicine | Tift Regional Health System, Inc. | 308 N Parrish Ave, Adel, GA 31620-2353 |
| Anthony Burke | Cardiovascular Disease (cardiology) | Tift Regional Health System, Inc. | 308 N Parrish Ave, Adel, GA 31620-2353 |
| Paul Murray | Cardiovascular Disease (cardiology) | Tift Regional Health System, Inc. | 308 N Parrish Ave, Adel, GA 31620-2353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Coffee Mcclain | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Pricilla R Greene | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Walter C Stone | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Cindy Mcneese | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Thomas D Fausett | Family Medicine | 707 N Parrish Ave, Adel, GA 31620-1521 | |
| Tia Sanderlin | Family Medicine | 707 N Parrish Ave, Adel, GA 31620-1521 | |
| Jason M Allen | Anesthesiology Assistant | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Chari Jefferson | Nurse Practitioner | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Abhinav Saxena | Psychiatry | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Mary M Faucher | Anesthesiology | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Find all physicians in zip 31620 | |||
| City | ADEL |
| Zip Code | 31620 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ADEL + PHYSICIAN ASSISTANT |
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| 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.