NPIMap

Organization Active NPI

Tifton Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Tifton, GA
National Provider Identifier
1710964614
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TIFTON ANESTHESIA ASSOCIATES, 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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1602 Madison Ave
Tifton, GA 31794-3756

Mailing address

PO Box 7348
Tifton, GA 31793-7348
Phone (229) 388-1378

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

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": "1710964614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7348",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937348",
            "telephone_number": "229-388-1378",
            "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 ANESTHESIA ASSOCIATES, 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": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "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.