P Praxis·MD
● Active Type 2 · Organization

Family Practice Assoicates Llc

General Practice·Tifton, GA· NPI 1972725216 · Enumerated 2007 · 19 years on NPI
Family Practice Assoicates Llc is 1 of 661 general practice organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-03
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Practice Owner/physician
Last NPPES update
2015-05-08
Source: monthly bulk 2026-05

How this organization compares

Across 661 active general practice providers in Georgia.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
612 Love Ave
Tifton, GA 31794
📞 2293913300fax 2293881948
Mailing address
612 Love Ave
Tifton, GA 31794
📞 2293913300fax 2293881948

Authorized official

Carl David Johnson, MD
Practice Owner/physician
📞 2293913300

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #28796 taxonomy 208D00000X

Identifiers

TypeValueNotes
05 (GA) 85002772G

Practice context

Multi-provider organization. 5 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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