Tifton Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

035986 Issued in GA

Legal business name

TIFTON FAMILY MEDICINE, PC

Practice address

902 18TH St East
Tifton, GA 31794

Phone

(229) 382-6414

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Marcus C Roberts, M.D.

Title

Owner

Phone

(229) 382-6414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1134225501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRECKINRIDGE BLVD",
            "address_2": "SUITE 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "678-226-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 18TH ST EAST",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-382-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTON FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-382-6414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL2838",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tifton Addiction Associates, LLC. D/B/a TLC Clinic
• Tifton Anesthesia Associates, P.C.
• Tifton Cardiovascular,LLC
• Tifton Clinic LLC
• Tifton Endoscopy Center, Inc.
• Tifton Operating Company LLC
• Tifton Ophthalmology Associates. PC
• Tifton Orthopaedic Clinic, PC
• Tifton Pain Management, P.C.
• Tifton Pathological Services

• Family Medicine Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.