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

Dr. William Leslie Hornback IV, MD

Individual provider Surgery Physician · NPI 1871619130

Dr. William Leslie Hornback IV, MD is a General Surgery in Tifton, Georgia. Graduated from University of Kentucky College of Medicine in 2005, 21 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
21
Trained at
University of Kentucky College of Medicine
Licensed in
GA, OH
In the registry since
2007
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

1007 Greenfield Dr
Tifton, GA 31794-3795
Phone: (229) 382-9733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 066548 (GA)
Surgery Physician Taxonomy 208600000X · Licence 57010975 (OH)

Record details

NPI number1871619130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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