SOUTH GA SURGICAL
NPI 1912315094
Surgery in Tifton, GA
NPI Status: Active since August 01, 2014
Contact Information
1007 GREENFIELD DR
TIFTON, GA
ZIP 31794
Phone: (229) 382-9733
- Organization
- Surgery
- Accepts Insurance
- CLIA Number: 11D0680179
- CLIA Cert. Type: Other
- CLIA Exp. Date: 12-27-2025
About SOUTH GA SURGICAL
This page provides the complete NPI Profile along with additional information for South Ga Surgical, a provider established in Tifton, Georgia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1912315094 assigned on August 2014. The practitioner's primary taxonomy code is 208600000X with license number 030799 (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as South Ga Surgical. The authorized official of this NPI record is Christopher Dorman (President/ceo)
- NPI
- 1912315094
- Provider Legal Name
- TIFT REGIONAL HEALTH SYSTEM INC
- Other Organization Name
- SOUTH GA SURGICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1007 GREENFIELD DR TIFTON, GA 31794
- Location Phone
- (229) 382-9733
- Mailing Address
- PO BOX 2650 TIFTON, GA 31793
- Mailing Phone
- (229) 353-3422
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2014
- Last Update Date
- 06-24-2022
- Code Navigator
A surgeon like South Ga Surgical treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Secondary Locations
- 2922 N Oak St Ste C
Valdosta, GA 31602
(229) 382-9733
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 030799
- License State
- GA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0680179
- Facility Type
- Other
- Certificate Effective Date
- December 28, 2023
- Certificate Expiration Date
- December 27, 2025
- Laboratory Director
- DR. GREG BEALE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to South Ga Surgical on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for SOUTH GA SURGICAL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 3 | 1 | 5 | 0 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 6 | 1 | 10 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 6 + 1 + 1 + 0 + 0 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1912315094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497722193 | WILLIAM H DAVIS MD Individual | Surgery (Vascular Surgery) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1518257393 | MISS ALLISON MARIE BELL PA Individual | Physician Assistant | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1649249285 | JESSICA HUNTER MATHIS NPC Individual | Nurse Practitioner (Family) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1194792929 | FORTE DAVID MCEACHIN MD Individual | Surgery | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1871619130 | DR. WILLIAM LESLIE HORNBACK IV M.D. Individual | Surgery | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1639423189 | MRS. COURTNEY BROOKE STEVENS PA-C Individual | Physician Assistant | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1235588518 | MRS. LINDSEY SHEA MCCRANIE SEAGRAVES NP-C Individual | Nurse Practitioner (Family) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1063481224 | MRS. JUDY E WEAVER APRNBC Individual | Nurse Practitioner (Family) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1750686507 | MRS. LAURA SUMNER MSN-FNP Individual | Nurse Practitioner (Family) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 387-9733 |
| 1770544694 | SOUTH GEORGIA SURGICAL CLINIC PC Organization | Surgery (Vascular Surgery) | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1982908281 | JERRI K AULTMAN RD Individual | Dietitian, Registered | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
| 1932306149 | DR. PAUL THOMAS CARTWRIGHT MD Individual | Surgery | 1007 GREENFIELD DR TIFTON, GA 31794 (229) 382-9733 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912315094, enumerated in the NPI registry as an "organization" on August 01, 2014
The provider is located at 1007 Greenfield Dr Tifton, Ga 31794 and the phone number is (229) 382-9733
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0680179 for a "other" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 01, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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