WILLIAM C BYRD INC (NPI# 1376601302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376601302 |
| Entity Type | Organization |
| Organization Name | WILLIAM C BYRD INC |
| Other Organization Name | BRADLEY PLACE |
| Practice Address |
418 North Park Ave Tifton GA 31794 |
| Mailing Address |
Po Box 890 Tifton GA 31793 |
| Practice Telephone | 2293869789 |
| Practice Fax Number | 2293869307 |
| Mailing Telephone | 2293828655 |
| Mailing Fax Number | 2293827011 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM C BYRD (OWNER PRESIDENT) |
| Authorized Official Telephone | 2293828655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00747766C | 05 |
| Other Name | Type Code |
|---|---|
| Bradley Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| 1962570168 | William C Byrd Inc | Assisted Living Facility | 405 North Ridge Avenue, Tifton, GA 31794 | 2006-12-04 |
| 1639237662 | William C Byrd Inc | Assisted Living Facility | 418 North Park Ave, Tifton, GA 31794 | 2006-12-04 |
| 1053489252 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| 1821156852 | William C Byrd Inc | Assisted Living Facility | 405 North Ridge Avenue, Tifton, GA 31794 | 2006-12-04 |
| Street Address |
418 NORTH PARK AVE |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639237662 | William C Byrd Inc | Assisted Living Facility | 418 North Park Ave, Tifton, GA 31794 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962570168 | William C Byrd Inc | Assisted Living Facility | 405 North Ridge Avenue, Tifton, GA 31794 | 2006-12-04 |
| 1639237662 | William C Byrd Inc | Assisted Living Facility | 418 North Park Ave, Tifton, GA 31794 | 2006-12-04 |
| 1821156852 | William C Byrd Inc | Assisted Living Facility | 405 North Ridge Avenue, Tifton, GA 31794 | 2006-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.