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DR. HENRY CLAYTON DORMINEY JR. M.D.
NPI 1689655904
Specialist in Tifton, GA

Active since November 14, 2005
820 LOVE AVE, SUITE A, TIFTON, GA 31794(229) 382-3720(229) 382-3722 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry Clayton Dorminey Jr. M.d. NPPES

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

DR. HENRY CLAYTON DORMINEY JR. M.D. (NPI 1689655904) is an individual specialist in Tifton, Georgia, licensed in Georgia (023352) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1689655904
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. HENRY CLAYTON DORMINEY JR.Credential: M.D.
Location Address820 LOVE AVE, SUITE ATifton, GA 31794-4071
Mailing Address820 Love Ave, Suite ATifton, GA 31794-4071 · (229) 382-3720 · Fax (229) 382-3722
Phone(229) 382-3720
Fax(229) 382-3722
Sole ProprietorYes
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 24, 2013
✔ NPI 1689655904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 023352
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
820 LOVE AVE, Tifton, GA 31794
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Other Identifiers 2

Medicaid000239731AGA
Medicare UPINE54853GA

Other Providers at the Same Location NPPES 2

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

SOUTHERN PODIATRY GROUP, PC
Podiatrist (Foot & Ankle Surgery)
820 LOVE AVE, SUITE B
TIFTON, GA 31794
Tift County (229) 382-5599
SLEEP USA
Clinic/Center (Sleep Disorder Diagnostic)
820 LOVE AVE, SUITE E
TIFTON, GA 31794
Tift County (229) 387-0263

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 Henry Dorminey's NPI number?

The NPI number for Henry Dorminey is 1689655904. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Henry Dorminey located?

Henry Dorminey practices at 820 Love Ave Suite A, Tifton, GA 31794. The listed phone number is (229) 382-3720.

What is Henry Dorminey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Henry Dorminey was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.