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Contact Information

TIFTAREA CARDIOLOGY
907 E. 18TH ST
STE 100
TIFTON, GA31794
 Phone: 229-391-9980
 Fax: 229-391-9984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIFTAREA CARDIOLOGY

NPI # 1053487462
LBN Legal business name TIFTAREA CARDIOLOGY
Authorized official WILLIAM HANCOCK - (OWNER/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 02/27/2026 - About 3 months ago
Identifiers
GA License # 047089
GA Medicaid 000701269F
GA Other 945232 BCBS
GA Other CG8763 RAILROAD MEDICARE
GA Other 256355379 TRICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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