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TIFTAREA CARDIOLOGY
NPI 1053487462
Internal Medicine - Cardiovascular Disease in Tifton, GA

Active since November 28, 2006CLIA 11D0987724 · Waiver
907 E. 18TH ST, STE 100, TIFTON, GA 31794(229) 391-9980(229) 391-9984 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiftarea Cardiology NPPES

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

TIFTAREA CARDIOLOGY (NPI 1053487462) is a healthcare organization registered as a cardiovascular disease in Tifton, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists William Walter Hancock, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1053487462
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTIFTAREA CARDIOLOGY
Location Address907 E. 18TH ST, STE 100Tifton, GA 31794
Mailing Address907 E. 18th St, Ste 100Tifton, GA 31794 · (229) 391-9980 · Fax (229) 391-9984
Phone(229) 391-9980
Fax(229) 391-9984
Organization SubpartNo
Authorized OfficialWilliam Walter HancockOwner/md · (229) 391-9980
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1053487462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 047089
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 047089 (GA)
907 E. 18TH ST, Tifton, GA 31794
Open in Google Maps ↗

Other Identifiers 4

Medicaid000701269FGA
Other256355379GA · Tricare
Other945232GA · Bcbs
OtherCG8763GA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiftarea Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tiftarea Cardiology, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

William Hancock, M.D.
Cardiovascular Disease (Cardiology)
NPI 1265423339
907 E 18TH STREET STE 100
Tifton, GA 31794
(229) 391-9980
✔ PECOS✔ Accepts Medicare0.1 mi
John Dodd, NP
Nurse Practitioner
NPI 1003104670
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4340
✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0987724

Tiftarea Cardiology PC · Tifton, GA
Active · expires Jun 11, 2027
CLIA Number11D0987724
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorWilliam W. Hancock MD
Laboratory Phone(229) 391-9980
Laboratory LocationTiftarea Cardiology PC907 E 18th Street Suite 100, Tifton, GA 31794
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tiftarea Cardiology's NPI number?

The NPI number for Tiftarea Cardiology is 1053487462. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Tiftarea Cardiology located?

Tiftarea Cardiology is located at 907 E. 18th St Ste 100, Tifton, GA 31794. The listed phone number is (229) 391-9980.

What is Tiftarea Cardiology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Tiftarea Cardiology enrolled in Medicare?

Yes. Tiftarea Cardiology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tiftarea Cardiology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tiftarea Cardiology, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tiftarea Cardiology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0987724) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tiftarea Cardiology was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.