P Praxis·MD
● Active Type 1 · Individual

DR. William Leslie Hornback IV, M.D.

Surgery·Tifton, GA· NPI 1871619130 · Enumerated 2007 · 19 years on NPI
Hornback is 1 of 7 surgery providers in Tifton and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2007-03-21
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
1007 Greenfield Dr
Tifton, GA 317943795
📞 2293829733
Mailing address
907 18th St E Ste 400
Tifton, GA 317943684
📞 2293829733

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #066548OH license #57010975 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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