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Thomas Shoup, PAC
NPI 1053420620 · Physician Assistant · Tifton, GA
Thomas Shoup, PAC is a Physician Assistant provider in Tifton, GA (NPI 1053420620).
Provider details
- NPI number
- 1053420620
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 1319 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 18th St E
Tifton, GA 31794-3648
Phone: (229) 353-6051
Street-level locationGet directions
Mailing address
907 18th St E
Tifton, GA 31794-3643
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Frequently asked questions
- What is Thomas Shoup's NPI number?
- Thomas Shoup's National Provider Identifier (NPI) is 1053420620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Shoup's specialty?
- Thomas Shoup is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Shoup located?
- Thomas Shoup's practice location on file with NPPES is 901 18th St E, Tifton, GA 31794-3648.
- What is Thomas Shoup's phone number?
- The practice phone number listed in the NPPES registry for Thomas Shoup is (229) 353-6051.
- Is Thomas Shoup's NPI active?
- Yes — Thomas Shoup's NPI (1053420620) is active in the NPPES registry as of the last update on 2020-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.