Tifton Orthopaedic Clinic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

20741 Issued in GA

Legal business name

TIFTON ORTHOPAEDIC CLINIC, PC

Practice address

1622 Madison Ave
Tifton, GA 31794-3756

Phone

(229) 386-0888

Fax

(229) 386-2245

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William L Hornback III, M.D.NPI 1316964208

Title

President

Phone

(229) 386-0888

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Leslie Hornback III, MD

  • Orthopaedic Surgery Physician
  • Tifton, GA
  • NPI 1316964208
  NPD (past) Authorized official
• Patrick Glenn Goodman, MD

  • Pain Medicine Physician
  • Tifton, GA
  • NPI 1639392558
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1437331006",
    "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": "229-386-0888",
            "fax_number": "229-386-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "229-386-0888",
            "fax_number": "229-386-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTON ORTHOPAEDIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HORNBACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-386-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "20741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tifton Clinic LLC
• Tifton Endoscopy Center, Inc.
• Tifton Family Medicine, PC
• Tifton Operating Company LLC (Tifton Health and Rehabilitation Center)
• Tifton Ophthalmology Associates. PC
• Tifton Pain Management, P.C.
• Tifton Pathological Services
• Tifton Radiology PC
• Tifton Woman's Center, P.C.
• Tristen Breann Tiller, BCBA

• Specialist in Tifton, GA
• Providers in Tifton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.