Active NPI
New Medical Center PC
- Family Medicine Physician
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 63840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nandlal Chainani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 63840 | GA | Primary |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G701254 | Other | GA | MEDICARE PTAN |
| 7959569408A | Medicaid | GA |
Other names 1
- KIDS CARE CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1077773 | New Medical Center | Certificate of waiver | Dec 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Tifton, GA
- NPI 1952482135
-
- Family Medicine Physician
- Tifton, GA
- NPI 1871804641
-
- Family Nurse Practitioner
- Tifton, GA
- NPI 1679031751
-
- Pediatrics Physician
- Doraville, GA
- NPI 1659369593
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.