Active NPI
Family Practice Associates of Tiftarea
- Nurse Practitioner
- Tifton, GA
National Provider Identifier
1336692599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN089222
- Legal business name
- FAMILY PRACTICE ASSOCIATES OF TIFTAREA
- Practice address
- 612 Love Ave
Tifton, GA 31794 - Phone
- (229) 391-3300
- Fax
- (229) 388-1948
- NPI assigned
- Jul 25, 2016
- Last updated
- Jul 25, 2016
- 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
- Mrs. Christy Blanchett, BBA-HM
- Title
- Practice Manager
- Phone
- (229) 391-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN089222 | GA | Primary |
Addresses
Primary practice location
612 Love Ave
Tifton, GA 31794
Mailing address
612 Love Ave
Tifton, GA 31794
Phone (229) 391-3300
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0980034 | Family Practice Associates of Tiftarea LLC | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469404800000",
"number": "1336692599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 LOVE AVE",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-391-3300",
"fax_number": "229-388-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 LOVE AVE",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-391-3300",
"fax_number": "229-388-1948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES OF TIFTAREA",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A",
"authorized_official_last_name": "BLANCHETT",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "229-391-3300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BBA-HM"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN089222",
"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 Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.