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

Individual provider Family Medicine Physician · NPI 1629186614

Dr. Ekei Joso Tanifum, MD is a Family Practice in Fort Stewart, Georgia. Qualified in 1986, 40 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
40
Licensed in
LA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6965
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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 · Licence 308952 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301073047 (MI)

Record details

NPI number1629186614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMay 11, 2022
Certification dateMay 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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