Tiftarea Urology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

040514 Issued in GA

Legal business name

TIFTAREA UROLOGY, PC

Practice address

1815 Old Ocilla Rd
Tifton, GA 31794-1617

Phone

(229) 391-3535

Fax

(229) 391-3529

NPI assigned

Dec 13, 2006

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffry J PetersNPI 1265492326

Title

Vice President

Phone

(229) 391-3535

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jeffry John Peters, M.D.

  • Urology Physician
  • Tifton, GA
  • NPI 1265492326
  Authorized official Same address or phone

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1912068503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-391-3535",
            "fax_number": "229-391-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-391-3535",
            "fax_number": "229-391-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFTAREA UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "229-391-3535"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "040514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiftarea Cardiology
• Tiftarea Endoscopy Center, Inc.
• Tiftarea Pediatrics
• Tiftarea Psychiatric and Counseling Services, LLC
• Tiftarea Surgical Partners, LLC
• Tifton Addiction Associates, LLC. D/B/a TLC Clinic
• Tifton Anesthesia Associates, P.C.
• Tifton Cardiovascular,LLC
• Tifton Clinic LLC
• Tifton Endoscopy Center, Inc.

• Specialist in Tifton, GA
• Providers in Tifton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.