NPI age
20 years
Enumerated 2006-03-30
● Active Type 2 · Organization
South Georgia Surgical Clinic Pc
South Georgia Surgical Clinic Pc is 1 of 268 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
President
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 268 active surgery providers in Georgia.
NPI age
20 years
↑ 2 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
1007 Greenfield Dr
Tifton, GA 317943795
Mailing address
1007 Greenfield Dr
Tifton, GA 317943795
Authorized official
Joel M Johnson, MD
President
📞 2293829733
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Jerri Aultman, RD Dietitian, Registered NPI 1982908281
- Allison Bell, PA Physician Assistant NPI 1518257393
- Paul Cartwright, MD Surgery NPI 1932306149
- William Davis, MD Surgery NPI 1497722193
- William Hornback, M.D. Surgery NPI 1871619130
- Jessica Mathis, NPC Nurse Practitioner NPI 1649249285
- Lindsey McCranie Seagraves, NP-C Nurse Practitioner NPI 1235588518
- Forte McEachin, MD Surgery NPI 1194792929
- Courtney Stevens, PA-C Physician Assistant NPI 1639423189
- Laura Sumner, MSN-FNP Nurse Practitioner NPI 1750686507
- Judy Weaver, APRNBC Nurse Practitioner NPI 1063481224
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SOUTH GEORGIA SURGICAL CLINIC PC
Practice context
Multi-provider organization. 11 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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