Organization Active NPI

New Medical Center PC

  • Family Medicine Physician
  • Tifton, GA
National Provider Identifier
1760660203
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63840 Issued in GA
Legal business name
NEW MEDICAL CENTER PC
Practice address
72 Kent Rd Ste 4
Tifton, GA 31794-1695
Phone
(229) 386-5101
Fax
(229) 386-2277
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Nandlal Chainani, MDNPI 1952482135
Title
Ceo
Phone
(229) 386-5101

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 63840 GA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 44893 GA

Addresses

Primary practice location

72 Kent Rd Ste 4
Tifton, GA 31794-1695

Mailing address

72 Kent Rd Ste 4
Tifton, GA 31794-1695
Phone (229) 386-5101

Other identifiers 2

IdentifierTypeStateIssuer
202G701254OtherGAMEDICARE PTAN
7959569408AMedicaidGA

Other names 1

  • KIDS CARE CLINIC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117001320 GA Part B Supplier - Clinic/Group Practice 3971799867 Receives reassigned benefits from 5 practitioners
Practice locations: Tifton, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1077773New Medical Center72 Kent Road, Unit 4, Tifton, GA 31794Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

1610 John Orr Dr
Ste E
Tifton, GA 31794
Phone (229) 386-5101

72 Kent Rd
Ste 4
Tifton, GA 31794
Phone (229) 386-5101

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1760660203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KENT RD STE 4",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941695",
            "telephone_number": "229-386-5101",
            "fax_number": "229-386-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 KENT RD STE 4",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941695",
            "telephone_number": "229-386-5101",
            "fax_number": "229-386-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "CHAINANI",
        "authorized_official_first_name": "NANDLAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-386-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63840",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "44893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G701254",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7959569408A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS CARE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "KIDS CARE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.