Active NPI
South Georgia Neurological Associates, P.C.
- Clinical Neurophysiology Physician
- Tifton, GA
National Provider Identifier
1407910607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- GA042576
- Legal business name
- SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
- Practice address
- 907 18TH St E Ste 190
Tifton, GA 31794-3600 - Phone
- (229) 391-3390
- Fax
- (229) 391-3399
- NPI assigned
- Dec 21, 2006
- 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
- Dr. Anthony George Giatras, M.D.
- Title
- Owner
- Phone
- (229) 391-3390
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | GA042576 | GA | |
| Clinical Neurophysiology Physician | 2084N0600X | GA042576 | GA | Primary |
Addresses
Primary practice location
907 18TH St E Ste 190
Tifton, GA 31794-3600
Mailing address
907 18TH St E Ste 190
Tifton, GA 31794-3600
Phone (229) 391-3390
National Provider Directory
National Provider DirectoryLocations
1309 Ocilla Rd
Ste 1
Douglas, GA 31533
Phone (912) 383-6581
907 18th St E
Ste 190
Tifton, GA 31794
Phone (229) 391-3390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Tifton, GA
- NPI 1306849831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1407910607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 18TH ST E STE 190",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943600",
"telephone_number": "229-391-3390",
"fax_number": "229-391-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 18TH ST E STE 190",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943600",
"telephone_number": "229-391-3390",
"fax_number": "229-391-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "GIATRAS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-391-3390",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "GA042576",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "GA",
"license": "GA042576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
- South Georgia Dermatology, PC
- South Georgia Drug Company LLC
- South Georgia Eye Partners
- South Georgia Eye Partners PC
- South Georgia Medicine, P.C.
- South Georgia Pain Management
- South Georgia Physicians for Women
- South Georgia Surgical Clinic PC
- South Georgia Vascular Clinic
- South Georiga Homecare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.