P Praxis·MD
● Active Type 2 · Organization

South Georgia Surgical Clinic Pc

Surgery·Tifton, GA· NPI 1770544694 · Enumerated 2006 · 20 years on NPI
South Georgia Surgical Clinic Pc is 1 of 268 surgery organizations in Georgia.
NPI age
20 years
Enumerated 2006-03-30
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
📞 2293829733fax 2293876161
Mailing address
1007 Greenfield Dr
Tifton, GA 317943795
📞 2293829733fax 2293876161

Authorized official

Joel M Johnson, MD
President
📞 2293829733

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    taxonomy 2086S0129X

Other names on file (1)

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

  • SOUTH GEORGIA SURGICAL CLINIC PC
    Type code 3 recorded 2006-03-30

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

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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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