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