NPI age
11 years
Enumerated 2014-11-18
● Active Type 2 · Organization
Tifton Ophthalmology Associates. Pc
Tifton Ophthalmology Associates. Pc is 1 of 807 ophthalmology organizations in Georgia.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moorman
Owner
Last NPPES update
2014-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 807 active ophthalmology providers in Georgia.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-11Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1803 Old Ocilla Rd
Tifton, GA 317941617
Mailing address
1803 Old Ocilla Rd
Tifton, GA 317941617
Authorized official
Larry R Moorman, M.D.
Owner
📞 2293862181
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Robert Holme, M.D. Ophthalmology NPI 1336150648
- Kenneth Shealy, O.D. Optometrist NPI 1104436922
- Bret Wagenhorst, M.D. Ophthalmology NPI 1841201134
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CC44356 | RAILROAD MEDICARE |
| 05 (GA) | 300022683A | |
| 01 (GA) | GRP2612 | GEORGIA MEDICARE |
Practice context
Multi-provider organization. 3 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.