P Praxis·MD
● Active Type 2 · Organization

Tift County Board Of Health D/b/a Diversified Enterprises

Nursing Care·Tifton, GA· NPI 1457633695 · Enumerated 2011 · 14 years on NPI
Tift County Board Of Health D/b/a Diversified Enterprises is 1 of 644 nursing care organizations in Georgia.
NPI age
14 years
Enumerated 2011-09-14
Primary specialty
Nursing Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Durden
Web Portal Manager
Last NPPES update
2011-09-14
Source: monthly bulk 2026-05

How this organization compares

Across 644 active nursing care providers in Georgia.

NPI age
14 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
192 Virginia Ave S, Suite 100
Tifton, GA 317948074
📞 2293863560fax 2293867156
Mailing address
192 Virginia Ave S, Suite 100
Tifton, GA 317948074
📞 2293863560fax 2293867156

Authorized official

Theresa Durden
Web Portal Manager
📞 2293863122

Specialties

  • Nursing Care Primary
    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
    taxonomy 251J00000X

Identifiers

TypeValueNotes
05 (GA) 000609771BL

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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