Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Elite Care LLC

Organization Family Medicine Physician · NPI 1366265449

Southern Elite Care LLC is a Family Medicine Physician in Tifton, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1499 Kennedy Rd Ste B
Tifton, GA 31794-4177
Phone: (229) 238-3034
Fax: (229) 238-3027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366265449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Tronolone — Owner · (229) 238-3034
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1499 Kennedy Rd Ste B, Tifton, GA 31794-4177

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