Organization Active NPI

Tifton Pain Management, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Tifton, GA
National Provider Identifier
1467439364
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TIFTON PAIN MANAGEMENT, P.C.
Practice address
1602 Madison Ave
Tifton, GA 31794-3756
Phone
(229) 386-5405
Fax
(229) 386-5571
NPI assigned
Dec 30, 2005
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Tonya H Davis
Title
Office Manager
Phone
(229) 388-1378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1602 Madison Ave
Tifton, GA 31794-3756

Mailing address

PO Box 7730
Tifton, GA 31793-7730
Phone (229) 386-5405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1467439364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7730",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937730",
            "telephone_number": "229-386-5405",
            "fax_number": "229-386-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "229-386-5405",
            "fax_number": "229-386-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTON PAIN MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-388-1378"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "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 Jan 27, 2010; 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.