Active NPI
Springtide Health Partners, LLC
- Primary Care Clinic/Center
- Washington, GA
National Provider Identifier
1669324901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SPRINGTIDE HEALTH PARTNERS, LLC
- Practice address
- 124 Gordon St
Washington, GA 30673-1602 - Phone
- (706) 678-3793
- NPI assigned
- Feb 10, 2026
- 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
- Dr. Cary Austin Sanders Hefty, MD
- Title
- Owner
- Phone
- (864) 293-5402
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
124 Gordon St
Washington, GA 30673-1602
Mailing address
PO Box 187
Washington, GA 30673-0187
Phone (706) 678-3793
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.
-
- Internal Medicine Physician
- Washington, GA
- NPI 1114154077
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1669324901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306730187",
"telephone_number": "706-678-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 GORDON ST",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306731602",
"telephone_number": "706-678-3793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGTIDE HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "HEFTY",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "AUSTIN SANDERS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-293-5402",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.