Active NPI
Daniel Jason Spratlin, LMSW, CADCII
- Social Worker
- Tifton, GA
National Provider Identifier
1275090086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008259
- Practice address
- 334 Tifton Eldorado Rd
Tifton, GA 31794-9497 - Phone
- (229) 391-2300
- Fax
- (229) 386-3991
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW008259 | GA | Primary |
Addresses
Primary practice location
334 Tifton Eldorado Rd
Tifton, GA 31794-9497
Mailing address
3120 N Oak Street Ext Ste C
Valdosta, GA 31602-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008259 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1275090086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 N OAK STREET EXT STE C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 TIFTON ELDORADO RD",
"city": "TIFTON",
"state": "GA",
"postal_code": "317949497",
"telephone_number": "229-391-2300",
"fax_number": "229-386-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRATLIN",
"first_name": "DANIEL",
"middle_name": "JASON",
"credential": "LMSW, CADCII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
- Southwest Georgia Rehab, Inc (FYZICAL Therapy & Balance of Tifton)
- Southwestern State Hospital (Assertive Community Treatment Program)
- Kaylyn Sparks
- William Troy Spicer II, NP
- Charles Derron Spikes, M.D.
- Megan A Stalvey
- Robin Chavon Stanley, NP-C
- Rebecca Condon Staub, MD
- Courtney Nelms Stephens, APRN, FNP-C
- Johnny Joe Stephens Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.