NPI age
17 years
Enumerated 2009-05-06
● Active Type 2 · Organization
South Georgia Vascular Clinic
South Georgia Vascular Clinic is 1 of 268 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crum
Vp/cfo
Last NPPES update
2009-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 268 active surgery providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
901 18th St E
Tifton, GA 317943648
Mailing address
901 18th St E
Tifton, GA 317943648
Authorized official
Dennis Crum
Vp/cfo
📞 2293536146
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jose Abantao, PT Physical Therapist NPI 1003936246
- Parisa Abraham, MD Internal Medicine NPI 1275129744
- William Alexander, D.O. Hospitalist NPI 1639303589
- Justin Allen Emergency Medicine NPI 1952545550
- Ibrahim Al Marei, MD Anesthesiology NPI 1497366017
- Raymond Alvarez, DO Internal Medicine NPI 1063090462
- Summer Alvarez, DO Family Medicine NPI 1053999458
- Francis Ampadu, D.O. Hospitalist NPI 1083812515
- Alonso Arcadia-Reynoso, CRNA Nurse Anesthetist, Certified Registered NPI 1992698997
- Nicholas Arnold, MD Internal Medicine NPI 1497383293
- Luanne Ashton, FNP Nurse Practitioner NPI 1669078747
- David Atkins, APRN-BC Nurse Practitioner NPI 1013926229
- Logan Balkcom Anesthesiologist Assistant NPI 1891457768
- Jessica Beier, M.D. Pathology NPI 1366437444
- Corey Bichel, DO Radiology NPI 1649790684
- Garrett Blalock, PA-C Physician Assistant NPI 1558739003
- Kathryn Blevins, PA Physician Assistant NPI 1942512561
- David Bobo, CRNA Nurse Anesthetist, Certified Registered NPI 1770574386
- Penny Booth, CFNP Nurse Practitioner NPI 1710078423
- Andrea Boutwell, ST Speech-Language Pathologist NPI 1891815049
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1003883612 | NPI/WILLIAM KAISER, MD |
| 01 (GA) | 1154356889 | NPI/BRAD HOLT PA |
| 05 (GA) | 205810921C |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
TIft Regional Medical Center d/b/a South Georgia Vascular Clinic
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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