OrganizationActive
Tiftarea Endoscopy Center, Inc.
NPI 1508896705 · Ambulatory Surgical Clinic/Center · Tifton, GA
Provider details
- NPI number
- 1508896705
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Dawson, President(229) 391-3625
- License
- 136-156 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 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
907 E. 18th Street
Suite 460
Tifton, GA 31794
Phone: (229) 391-3625
Fax: (229) 391-3639
Street-level locationGet directions
Mailing address
907 E. 18th Street
Tifton, GA 31794
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2010-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.