NPI age
4 years
Enumerated 2021-12-30
● Active Type 2 · Organization
Tiftarea Pediatrics
Tiftarea Pediatrics is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Co-Owner
Last NPPES update
2022-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
215 12th St W
Tifton, GA 317943923
Mailing address
215 12th St W
Tifton, GA 317943923
Authorized official
Mark Wilson, MD
Co-Owner
📞 2293965335
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Elizabeth Wilson, PNP Nurse Practitioner NPI 1093080541
- Mark Wilson, M.D. Pediatrics NPI 1003132754
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Multi-provider organization. 2 individual providers 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.