National Provider Identifier Database

TIFTAREA CARDIOLOGY
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

TIFTAREA CARDIOLOGY
907 E. 18TH ST
STE 100
TIFTON, GA31794
Phone: 229-391-9980
Fax: 229-391-9984
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Interventional Cardiology 207RI0011X

* Indicates primary specialty

NPI Profile & details for TIFTAREA CARDIOLOGY

NPI Number 1053487462
Legal business name
LBN
TIFTAREA CARDIOLOGY
Authorized official WILLIAM HANCOCK - (OWNER/MD)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 02/27/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 047089
  • GA Medicaid: 000701269F
  • GA Other: 945232 BCBS
  • GA Other: CG8763 RAILROAD MEDICARE
  • GA Other: 256355379 TRICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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