NPI age
9 years
Enumerated 2017-02-09
● Active Type 2 · Organization
Subpart
Tech Medical Center, Llc
Tech Medical Center, Llc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lopez
Owner/medical Director
Last NPPES update
2017-02-09
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
9 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
416 E 3rd Ave
Cordele, GA 310153605
Mailing address
416 E 3rd Ave
Cordele, GA 310153605
Authorized official
Jose Miguel Lopez, M.D.
Owner/medical Director
📞 6464629251
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jerrold McClung Dentist NPI 1013059609
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ela Doc Tree
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Tech Medical Center, Llc.
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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.