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SOUTH GEORGIA EYE PARTNERS
NPI 1093077984
Ophthalmology in Tifton, GA

Active since June 15, 2012CLIA Certified · 2 labs
416 TIFT AVE N, TIFTON, GA 31794(229) 391-4180(229) 391-2929 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Georgia Eye Partners NPPES

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

SOUTH GEORGIA EYE PARTNERS (NPI 1093077984) is a healthcare organization registered as an ophthalmology in Tifton, Georgia and active in the NPI registry since June 2012. The organization holds 2 active CLIA laboratory certificates and lists Scott H Petermann, Owner, as its authorized official.

NPPES Registry Identity

NPI1093077984
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTH GEORGIA EYE PARTNERS
Location Address416 TIFT AVE NTifton, GA 31794-4466
Mailing Address4380 Kings WayValdosta, GA 31602-6921 · (229) 244-2068 · Fax (229) 244-2850
Phone(229) 391-4180
Fax(229) 391-2929
Organization SubpartNo
Authorized OfficialScott H PetermannOwner · (229) 391-4126
Enumeration DateJune 15, 2012
✔ NPI 1093077984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedEyewear SupplierTaxonomy 332H00000X
416 TIFT AVE N, Tifton, GA 31794
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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

CLIA Laboratory Certificates CMS CLIA 2

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 11D2068055

South Georgia Eye Partners · Tifton, GA
Active · expires Oct 27, 2027
CLIA Number11D2068055
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorScott H. Petermann
Laboratory Phone(229) 391-4180
Laboratory LocationSouth Georgia Eye Partners416 Tift Avenue N, 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.

Certificate of Waiver 11D2068057

South Georgia Eye Partners · Valdosta, GA
Active · expires Oct 27, 2027
CLIA Number11D2068057
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorScott H. Petermann
Laboratory Phone(229) 244-2068
Laboratory LocationSouth Georgia Eye Partners4120 A North Valdosta Road, Valdosta, GA 31602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

SOUTH GEORGIA PAIN MANAGEMENT
Chiropractor
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 386-8800
SOUTH GEORGIA EYE PARTNERS PC
Ophthalmology
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 391-4180
CENTER FOR FAMILY HEALTH AND WELLNESS, LLC
Chiropractor
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 386-8800
DR. ERIN MOZINGO SHEALY OD
Optometrist
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 244-2068
KYLE REGISTER
Chiropractor
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 386-8800
MS. PAMELA HANKS MASSAGE THERAPIST
Massage Therapist
416 TIFT AVE N
TIFTON, GA 31794
Tift County (229) 848-1674

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 South Georgia Eye Partners's NPI number?

The NPI number for South Georgia Eye Partners is 1093077984. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is South Georgia Eye Partners located?

South Georgia Eye Partners is located at 416 Tift Ave N, Tifton, GA 31794. The listed phone number is (229) 391-4180.

What is South Georgia Eye Partners's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does South Georgia Eye Partners hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for South Georgia Eye Partners was last updated on June 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.