NPIMap

Organization Active NPI

Care Medical Center, LLC

  • Non-Pharmacy Dispensing Site
  • Tifton, GA
National Provider Identifier
1083982300
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CARE MEDICAL CENTER, LLC
Practice address
162 Virginia Ave S
Tifton, GA 31794-8047
Phone
(229) 382-5857
NPI assigned
Dec 1, 2011
Organization subpart
Yes
Parent organization
CARE MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Authorized official

Name
Dr. Geoffrey Jones, M.D.
Title
Medical Director
Phone
(229) 382-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

162 Virginia Ave S
Tifton, GA 31794-8047

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Care Medical Center6 organizations share this tax ID, including this one
Part of
Care Medical Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

917 20th St W
Tifton, GA 31794
Phone (229) 226-1035

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677283200000",
    "number": "1083982300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 VIRGINIA AVE S",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317948047",
            "telephone_number": "229-382-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE MEDICAL CENTER, LLC",
        "enumeration_date": "2011-12-01",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-382-5857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.