P Praxis·MD
● Active Type 2 · Organization Subpart

Georgia Dental Associates, Llc

Clinic/Center·Tifton, GA· NPI 1619516002 · Enumerated 2020 · 6 years on NPI
Georgia Dental Associates, Llc is 1 of 507 clinic/center organizations in Georgia.
NPI age
6 years
Enumerated 2020-01-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hatcher
Director Of Operations
Last NPPES update
2022-01-25
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
315 14th St E
Tifton, GA 317944018
📞 2293135083
Mailing address
315 14th St E
Tifton, GA 317944018
📞 2293135083

Authorized official

Nettie S Hatcher
Director Of Operations
📞 2298482685

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Georgia Dental Associates of Tifton
    Type code 3 recorded 2022-01-25
  • Georgia Dental Associates of Tifton
    Type code 3 recorded 2020-01-02

Practice context

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

Subpart of Georgia Dental Associates.

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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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