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THOMAS L SHOUP PAC
NPI 1053420620
Physician Assistant in Tifton, GA

Active since August 29, 2006
901 18TH ST E, TIFTON, GA 31794(229) 353-6051 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas L Shoup Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS L SHOUP PAC (NPI 1053420620) is an individual physician assistant in Tifton, Georgia, licensed in Georgia (1319) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053420620
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS L SHOUPCredential: PAC
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address907 18th St E, Suite 150Tifton, GA 31794-3643 · (229) 353-6051
Phone(229) 353-6051
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1053420620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 1319
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
901 18TH ST E, Tifton, GA 31794
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLE BURGESS CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
ISRAEL SAUCEDO APRN, FNP-C
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-7050
JAVERIA NASEER MBBS
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120
WILLIAM A GUEST MD
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3400
JOSE ABANTAO PT
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3347
DR. KAMRAN LATEEF MD
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6051
HEATH FARMER CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
DAVID RYAN ATKINS APRN-BC
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Shoup's NPI number?

The NPI number for Thomas Shoup is 1053420620. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Thomas Shoup located?

Thomas Shoup practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 353-6051.

What is Thomas Shoup's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Thomas Shoup was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.