Tiftarea Surgical Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TIFTAREA SURGICAL PARTNERS, LLC

Practice address

1610 John Orr Dr
Suite H
Tifton, GA 31794-3682

Phone

(229) 387-1185

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Drew Dorminey

Title

Administrator

Phone

(229) 387-1185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1659624666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690629",
            "telephone_number": "229-387-1185",
            "fax_number": "229-382-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JOHN ORR DR",
            "address_2": "SUITE H",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943682",
            "telephone_number": "229-387-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTAREA SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DORMINEY",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-387-1185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiftarea Pediatrics
• Tiftarea Psychiatric and Counseling Services, LLC
• Tiftarea Urology, PC
• Tifton Addiction Associates, LLC. D/B/a TLC Clinic
• Tifton Anesthesia Associates, P.C.
• Tifton Cardiovascular,LLC
• Tifton Clinic LLC

• All providers in Tifton, GA
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.