Active NPI
Tifton Cardiovascular,LLC
- Specialist
- Tifton, GA
National Provider Identifier
1134418445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 054042
- Legal business name
- TIFTON CARDIOVASCULAR,LLC
- Practice address
- 1499 Kennedy Rd Ste C
Tifton, GA 31794-4177 - Phone
- (229) 238-3034
- Fax
- (229) 238-3027
- NPI assigned
- Apr 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy A Shiflet
- Title
- Office Manager
- Phone
- (229) 238-3034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 054042 | GA | Primary |
Addresses
Primary practice location
1499 Kennedy Rd Ste C
Tifton, GA 31794-4177
Mailing address
39 Kent Road, Suite 1
Tifton, GA 31794
Phone (229) 391-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1499 Kennedy Rd
Ste C
Tifton, GA 31794
Phone (229) 238-3034
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Tifton, GA
- NPI 1376626432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739059200000",
"number": "1134418445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 KENT ROAD, SUITE 1",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-391-3555",
"fax_number": "229-238-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 KENNEDY RD STE C",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944177",
"telephone_number": "229-238-3034",
"fax_number": "229-238-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFTON CARDIOVASCULAR,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2025-02-09",
"certification_date": "2025-02-09",
"status": "A",
"authorized_official_last_name": "SHIFLET",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "229-238-3034"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "054042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
- Tiftarea Psychiatric and Counseling Services, LLC
- Tiftarea Surgical Partners, LLC
- Tiftarea Urology, PC
- Tifton Addiction Associates, LLC. D/B/a TLC Clinic
- Tifton Anesthesia Associates, P.C.
- Tifton Clinic LLC
- Tifton Endoscopy Center, Inc.
- Tifton Family Medicine, PC
- Tifton Operating Company LLC
- Tifton Ophthalmology Associates. PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.