FAMILY PRACTICE ASSOICATES LLC
NPI 1972725216
General Practice in Tifton, GA

Active since May 03, 2007
612 LOVE AVE, TIFTON, GA 31794(229) 391-3300(229) 388-1948 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Practice Assoicates Llc NPPES

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

FAMILY PRACTICE ASSOICATES LLC (NPI 1972725216) is a healthcare organization registered as a general practice in Tifton, Georgia and active in the NPI registry since May 2007. The organization lists Carl David Johnson, Practice Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1972725216
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAMILY PRACTICE ASSOICATES LLC
Location Address612 LOVE AVETifton, GA 31794
Mailing Address612 Love AveTifton, GA 31794 · (229) 391-3300 · Fax (229) 388-1948
Fax(229) 388-1948
Organization SubpartNo
Authorized OfficialCarl David JohnsonPractice Owner/physician · (229) 391-3300
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 8, 2015
NPI 1972725216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 28796
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
612 LOVE AVE, Tifton, GA 31794

Other Identifiers 2

Medicare PINGRP4027GA
Medicaid85002772GGA

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 6

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

Family Medicine
612 LOVE AVE
TIFTON, GA 31794
Nurse Practitioner
612 LOVE AVE
TIFTON, GA 31794
Nurse Practitioner (Family)
612 LOVE AVE
TIFTON, GA 31794
Nurse Practitioner (Primary Care)
612 LOVE AVE
TIFTON, GA 31794
Nurse Practitioner
612 LOVE AVE
TIFTON, GA 31794
Nurse Practitioner (Family)
612 LOVE AVE
TIFTON, GA 31794

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 Assoicates LLC's NPI number?

The NPI number for Family Practice Assoicates LLC is 1972725216. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Family Practice Assoicates LLC located?

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

What is Family Practice Assoicates LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Family Practice Assoicates LLC was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.