Active NPI
Palmetto Health Care Group LLC
- Adult Health Nurse Practitioner
- Tifton, GA
National Provider Identifier
1467327239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- PALMETTO HEALTH CARE GROUP LLC
- Practice address
- 212 8TH St E
Tifton, GA 31794-4058 - Phone
- (229) 396-5002
- NPI assigned
- Oct 9, 2025
- 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
- Shelley Perry
- Title
- Owner
- Phone
- (229) 326-2645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
212 8TH St E
Tifton, GA 31794-4058
Mailing address
212 8TH St E
Tifton, GA 31794-4058
Phone (229) 396-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1467327239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 8TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944058",
"telephone_number": "229-396-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 8TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944058",
"telephone_number": "229-396-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH CARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-326-2645"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
- Caylor Mark Orr, DMD
- Orthopedic and Sports Physical Therapy, Inc.
- Orthopedic Surgeons of Georgia LLC
- Orthopedic Surgeons of Georgia, LLC
- Thomas Judson Andrew Ott, PHARMD
- Palmetto Hospice and Palliative, LLC
- Matthew William Pantsari, M.D.
- Jeremy Paradice, MD
- Lindalea E. Parker, CRNA
- Angelia Parrish, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.