William Leslie Hornback III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20741 Issued in GA

Practice address

1622 Madison Avenue
Tifton, GA 31794-1228

Phone

(229) 388-5625

Fax

(229) 353-6377

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tifton Orthopaedic Clinic, PC

  • Specialist
  • Tifton, GA
  • NPI 1437331006
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1316964208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVENUE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941228",
            "telephone_number": "229-388-5625",
            "fax_number": "229-353-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVENUE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941228",
            "telephone_number": "229-388-5625",
            "fax_number": "229-353-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "WILLIAM",
        "middle_name": "LESLIE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "20741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Honeycutt, MD
• Tina Hood, PA
• Julie Hooks, NP
• Hope Emergency Medical Service, LLC (Hope EMS)
• Rachel E Horn, DO
• William Leslie Hornback IV, M.D.
• Tanique Shayan Howard-Boone, BSN, RN, RNC-NIC
• James Andrew Howard, M.D.
• Kayla Danielle Howard, FNP-C, PMHNP-BC
• Kaylar Greer Howard, M.D.

• Orthopaedic Surgery Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.