The Orthopedic Spine Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

048965 Issued in GA

Legal business name

THE ORTHOPEDIC SPINE CENTER

Practice address

1622 Madison Ave
Tifton, GA 31794-3756

Phone

(229) 388-5625

NPI assigned

May 18, 2010

Last updated

May 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hewatt M Sims, M.D.

Title

Owner/Managing Member

Phone

(229) 388-5625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1558680462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "229-388-5625"
        },
        {
            "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": "229-388-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPEDIC SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "HEWATT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "229-388-5625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "048965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted a McElroy OD, PC (Vision Source Tifton)
• Jon R Teegardin, NP-C
• Margaret Grace Testerman, PHARMD
• The Conner Group for Pediatric Therapies, LLC
• The Lymphedema Center, LLC
• The Therapy House Chiropractic & Wellness LLC
• Therapeutic Health Clinic
• Theraplay LLC
• Therapy House LLC
• Amy R Thomas, MED CFY-SLP

• Clinic/Center in Tifton, GA
• Providers in Tifton, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.