TIFTAREA ENDOSCOPY CENTER, INC. – NPI #1508896705
Clinic/Center

TIFTAREA ENDOSCOPY CENTER, INC. is an AHC clinic located in TIFTON, GA. NPPES has assigned the NPI number 1508896705 to TIFTAREA ENDOSCOPY CENTER, INC. on July 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Jul 14, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIFTAREA ENDOSCOPY CENTER, INC. below.

NPI Profile for
TIFTAREA ENDOSCOPY CENTER, INC.

NPI Number
1508896705
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIFTAREA ENDOSCOPY CENTER, INC.
Primary location
907 E. 18TH STREET
SUITE 460
TIFTON, GA 31794
Phone: (229) 391-3625 Fax: (229) 391-3639
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL DAWSON
PRESIDENT
Phone: (229) 391-3625
Updated
Identifiers

Identifiers for TIFTAREA ENDOSCOPY CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDHR LICENSEGA136156
MEDICAIDGA00818892A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA 136-156

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.