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

Tifton Clinic LLC

Organization Family Medicine Physician · NPI 1841696879

Tifton Clinic LLC is a Family Medicine Physician in Tifton, Georgia. Registered with an NPI since 2014.

In the registry since
2014
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

1623 Old Ocilla Rd
Tifton, GA 31794-4173
Phone: (229) 891-9131
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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 number1841696879
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColquitt Regional Medical Inc
Authorized official Wendell Sims — Coo · (229) 890-3531
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 19, 2014
Mailing addressPo Box 2876, Moultrie, GA 31776-2876

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