NPI age
20 years
Enumerated 2006-03-14
● Active Type 2 · Organization
Open Mri Of Tifton Llc
Open Mri Of Tifton Llc is 1 of 30 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holliday
Director
Last NPPES update
2026-02-24
Source: monthly bulk 2026-05
How this organization compares
Across 30 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1401 Tift Ave N Ste E
Tifton, GA 317943577
Mailing address
Po Box 4003
MacOn, GA 312084003
Authorized official
Peter O Holliday, MD
Director
📞 4783145002
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003144064A | |
| 05 (GA) | 300035136B |
Practice context
Single-site organization. Only one practice location on file.
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- 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.