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

Tabitha Ford

Individual provider Nurse Practitioner · NPI 1538768965

Tabitha Ford is a Nurse Practitioner in Ty Ty, Georgia. Qualified in 2019, 7 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020

Practice location Address checks out

110 Shorter St Lot 9
Ty Ty, GA 31795-3179
Phone: (229) 256-7374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN173276 (GA)

Record details

NPI number1538768965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020
Mailing address110 Shorter St Lot 9, Ty Ty, GA 31795-3179

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare