Individual provider Active NPI

William L Tift, M.D.

  • Pediatrics Physician
  • Macon, GA
National Provider Identifier
1811070733
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
015329 Issued in GA
Practice address
550 Professional Dr
Macon, GA 31201-1441
Phone
(478) 741-3007
Fax
(478) 744-3481
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 015329 GA Primary

Addresses

Primary practice location

550 Professional Dr
Macon, GA 31201-1441

Mailing address

550 Professional Dr
Macon, GA 31201-1441
Phone (478) 741-3007

Other identifiers 1

IdentifierTypeStateIssuer
000511475AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015329GAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: william.tift@pppc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1811070733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011441",
            "telephone_number": "478-741-3007",
            "fax_number": "478-744-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011441",
            "telephone_number": "478-741-3007",
            "fax_number": "478-744-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFT",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "015329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000511475A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.