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

Thomas L Shoup, PAC

Individual provider Physician Assistant · NPI 1053420620

Thomas L Shoup, PAC is a Physician Assistant in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 353-6051
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1319 (GA)

Record details

NPI number1053420620
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing address907 18th St E, Suite 150, Tifton, GA 31794-3643

Other providers in Tifton