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Contact Information

OPEN MRI OF TIFTON LLC
1401 TIFT AVE N STE E
TIFTON, GA31794-3577
 Phone: 229-387-6799
 Fax: 229-387-6791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for OPEN MRI OF TIFTON LLC

NPI # 1679542526
LBN Legal business name OPEN MRI OF TIFTON LLC
Authorized official PETER HOLLIDAY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 05/26/2026 - About 2 weeks ago
Identifiers
GA Medicaid 003144064A
GA Medicaid 300035136B
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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