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TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC
NPI 1144454059
Surgery - Vascular Surgery in Tifton, GA

Active since May 06, 2009
901 18TH ST E, TIFTON, GA 31794(229) 382-9733(229) 387-6161 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tift Regional Medical Center D/b/a South Georgia Vascular Clinic NPPES

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

TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC (NPI 1144454059) is a healthcare organization registered as a vascular surgery in Tifton, Georgia and active in the NPI registry since May 2009. The organization lists Dennis Crum, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1144454059
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTH GEORGIA VASCULAR CLINIC
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address901 18th St ETifton, GA 31794-3648 · (229) 382-9733 · Fax (229) 387-6161
Phone(229) 382-9733
Fax(229) 387-6161
Organization SubpartNo
Authorized OfficialDennis CrumVp/cfo · (229) 353-6146
Enumeration DateMay 6, 2009
✔ NPI 1144454059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in GA · 031466
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
901 18TH ST E, Tifton, GA 31794
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Other Names 1

Doing Business AsTift Regional Medical Center D/b/a South Georgia Vascular Clinic

Other Identifiers 5

Medicaid205810921CGA
Medicare PINH95175GA
Other1003883612GA · Npi/william Kaiser, Md
Other1154356889GA · Npi/brad Holt Pa
Medicare PINHOSP29GA

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 SINGLE SPECIALTY GROUP

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 South Georgia Vascular Clinic's NPI number?

The NPI number for South Georgia Vascular Clinic is 1144454059. It was assigned to this organization in the NPPES registry on May 6, 2009. The provider is doing business as Tift Regional Medical Center D/B/A South Georgia Vascular Clinic.

Where is South Georgia Vascular Clinic located?

South Georgia Vascular Clinic is located at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-9733.

What is South Georgia Vascular Clinic's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for South Georgia Vascular Clinic was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.