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FAMILY PRACTICE ASSOCIATES OF TIFTAREA
NPI 1336692599
Nurse Practitioner in Tifton, GA

Active since July 25, 2016CLIA 11D0980034 · Waiver
612 LOVE AVE, TIFTON, GA 31794(229) 391-3300(229) 388-1948 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Practice Associates Of Tiftarea NPPES

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

FAMILY PRACTICE ASSOCIATES OF TIFTAREA (NPI 1336692599) is a healthcare organization registered as a nurse practitioner in Tifton, Georgia and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Christy Blanchett, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1336692599
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFAMILY PRACTICE ASSOCIATES OF TIFTAREA
Location Address612 LOVE AVETifton, GA 31794
Mailing Address612 Love AveTifton, GA 31794 · (229) 391-3300 · Fax (229) 388-1948
Phone(229) 391-3300
Fax(229) 388-1948
Organization SubpartNo
Authorized OfficialChristy BlanchettPractice Manager · (229) 391-3300
Enumeration DateJuly 25, 2016
✔ NPI 1336692599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN089222
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
612 LOVE AVE, 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 SINGLE SPECIALTY GROUP

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 11D0980034

Family Practice Associates Of Tiftarea LLC · Tifton, GA
Active · expires Nov 8, 2026
CLIA Number11D0980034
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJennine Gomez
Laboratory Phone(229) 391-3300
Laboratory LocationFamily Practice Associates Of Tiftarea LLC612 Love Ave, 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.

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.

MR. CARL DAVID JOHNSON III MD
Family Medicine
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300
MS. VIVIAN E WATSON FNP-C
Nurse Practitioner
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300
REBEKAH MARIE TUCKER FNP-C
Nurse Practitioner (Family)
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300
ASHLEY D RING NP
Nurse Practitioner (Primary Care)
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300
MR. ARTHUR GRIFFIN DAVIS NP-C
Nurse Practitioner (Family)
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300
FAMILY PRACTICE ASSOICATES LLC
General Practice
612 LOVE AVE
TIFTON, GA 31794
Tift County (229) 391-3300

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 Family Practice Associates Of Tiftarea's NPI number?

The NPI number for Family Practice Associates Of Tiftarea is 1336692599. It was assigned to this organization in the NPPES registry on July 25, 2016.

Where is Family Practice Associates Of Tiftarea located?

Family Practice Associates Of Tiftarea is located at 612 Love Ave, Tifton, GA 31794. The listed phone number is (229) 391-3300.

What is Family Practice Associates Of Tiftarea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Family Practice Associates Of Tiftarea hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0980034) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Practice Associates Of Tiftarea was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.