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

Tiftarea Pediatrics

Organization Pediatrics Physician · NPI 1154081271

Tiftarea Pediatrics is a Pediatrics Physician in Tifton, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

215 12th St W
Tifton, GA 31794-3923
Phone: (912) 690-4043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1154081271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wilson — Co-Owner · (229) 396-5335
NPI enumeratedDecember 30, 2021
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address215 12th St W, Tifton, GA 31794-3923

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