NPI age
18 years
Enumerated 2008-05-22
● Active Type 2 · Organization
Southern Podiatry Group, Pc
Southern Podiatry Group, Pc is 1 of 397 podiatrist organizations in Georgia.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Griffin
Office Manager
Last NPPES update
2009-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 397 active podiatrist providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
820 Love Ave, Suite B
Tifton, GA 317944071
Mailing address
2718 N Oak St
Valdosta, GA 316021781
Authorized official
Avis Griffin
Office Manager
📞 2292423668
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Henry Dorminey, M.D. Specialist NPI 1689655904
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300026567A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.