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SOUTH GEORGIA SURGICAL CLINIC PC
NPI 1770544694
Surgery - Vascular Surgery in Tifton, GA

Active since March 30, 2006
1007 GREENFIELD DR, TIFTON, GA 31794(229) 382-9733(229) 387-6161 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Georgia Surgical Clinic Pc NPPES

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

SOUTH GEORGIA SURGICAL CLINIC PC (NPI 1770544694) is a healthcare organization registered as a vascular surgery in Tifton, Georgia and active in the NPI registry since March 2006. The organization lists Joel M Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1770544694
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTH GEORGIA SURGICAL CLINIC PC
Location Address1007 GREENFIELD DRTifton, GA 31794-3795
Mailing Address1007 Greenfield DrTifton, GA 31794-3795 · (229) 382-9733 · Fax (229) 387-6161
Phone(229) 382-9733
Fax(229) 387-6161
Organization SubpartNo
Authorized OfficialJoel M JohnsonPresident · (229) 382-9733
Enumeration DateMarch 30, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1770544694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1007 GREENFIELD DR, Tifton, GA 31794
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Other Names 1

Doing Business AsSouth Georgia Surgical Clinic Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

MRS. JUDY E WEAVER APRNBC
Nurse Practitioner (Family)
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
FORTE DAVID MCEACHIN MD
Surgery
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
MRS. LINDSEY SHEA MCCRANIE SEAGRAVES NP-C
Nurse Practitioner (Family)
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
WILLIAM H DAVIS MD
Surgery (Vascular Surgery)
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
MISS ALLISON MARIE BELL PA
Physician Assistant
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
MRS. COURTNEY BROOKE STEVENS PA-C
Physician Assistant
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
JESSICA HUNTER MATHIS NPC
Nurse Practitioner (Family)
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 382-9733
MRS. LAURA SUMNER MSN-FNP
Nurse Practitioner (Family)
1007 GREENFIELD DR
TIFTON, GA 31794
Tift County (229) 387-9733

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 Surgical Clinic PC's NPI number?

The NPI number for South Georgia Surgical Clinic PC is 1770544694. It was assigned to this organization in the NPPES registry on March 30, 2006.

Where is South Georgia Surgical Clinic PC located?

South Georgia Surgical Clinic PC is located at 1007 Greenfield Dr, Tifton, GA 31794. The listed phone number is (229) 382-9733.

What is South Georgia Surgical Clinic PC'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 Surgical Clinic PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.