TIFTON ORTHOPAEDIC CLINIC PC NPI 1437331006

NPI Information

  • NPI: 1437331006
  • Provider Name: TIFTON ORTHOPAEDIC CLINIC, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1622 MADISON AVE
    TIFTON, GA
    ZIP 31794
  • Phone: (229) 386-0888

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NPI Details

TIFTON ORTHOPAEDIC CLINIC, PC is a specialist in Tifton, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIFTON ORTHOPAEDIC CLINIC, PC NPI is 1437331006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1622 MADISON AVE
TIFTON, GA
ZIP 31794-756
Phone: (229) 386-0888
Fax: (229) 386-2245

The provider's authorized official is William L Hornback .
The authorized official title is President and has the following contact phone number (229) 386-0888.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist20741GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D29794MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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