Tiftarea Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

047089 Issued in GA

Legal business name

TIFTAREA CARDIOLOGY

Practice address

907 E. 18TH St
Ste 100
Tifton, GA 31794

Phone

(229) 391-9980

Fax

(229) 391-9984

NPI assigned

Nov 28, 2006

Last updated

Feb 27, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Walter Hancock, MDNPI 1265423339

Title

Owner/MD

Phone

(229) 391-9980

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Walter Hancock, M.D.

  • Cardiovascular Disease Physician
  • Tifton, GA
  • NPI 1265423339
  Medicare reassignment Care Compare group NPD Authorized official
• John Stephen Dodd, NP

  • Acute Care Nurse Practitioner
  • Valdosta, GA
  • NPI 1003104670
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1053487462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E. 18TH ST",
            "address_2": "STE 100",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-391-9980",
            "fax_number": "229-391-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E. 18TH ST",
            "address_2": "STE 100",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-391-9980",
            "fax_number": "229-391-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTAREA CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "229-391-9980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "047089",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "047089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000701269F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "256355379",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG8763",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "945232",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tift Regional Health System, Inc (Southwell CHF and COPD Clinic)
• Tift Regional Health System, Inc (Southwell Medical Clinic)
• Tift Regional Health System, Inc. (Tift Regional Dialysis Center)
• Tift Regional Health System, Inc. (Hospice of Tift Area)
• Tift Regional Medical Center
• Tiftarea Endoscopy Center, Inc.
• Tiftarea Pediatrics
• Tiftarea Psychiatric and Counseling Services, LLC
• Tiftarea Surgical Partners, LLC
• Tiftarea Urology, PC

• Cardiovascular Disease Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.