TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC


Address: 2402 North Tift Ave Suite 202, Tifton, GA 31794
Phone: 2293827898

TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC (NPI# 1821393380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821393380
Entity Type Organization
Organization Name TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC
Practice Address 2402 North Tift Ave Suite 202
Tifton
GA 31794
Mailing Address 2402 Tift Ave N Ste 202
Tifton
GA 31794-1885
Practice Telephone 2293827898
Mailing Telephone 2293827898
Enumeration Date 2011-01-14
Last Update Date 2011-01-14
Authorized Official Name JONATHAN PAUL CONNELL (MANAGING MEMBER)
Authorized Official Telephone 2293827898
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
NTP001047 GA Allopathic & Osteopathic Physicians
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PHOP000045 GA Pharmacy Service Providers
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
NTP001047 GA Allopathic & Osteopathic Physicians
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
NTP001047 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2402 NORTH TIFT AVE SUITE 202
City TIFTON
State GA
Zip Code 31794

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

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NPI Name Taxonomy Address Enumeration
1093338816 Summit Wellness Group With Flaire Inc Psychiatry & Neurology 996 Huff Rd Nw Ste C, Atlanta, GA 30318-4333 2020-05-27
1578183737 Veda Lara LLC Psychiatry & Neurology 1530 Laurel Park Cir Ne, Atlanta, GA 30329-3217 2020-04-17
1023651312 Atlantic Advanced Branded Center, LLC. Psychiatry & Neurology 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096-2806 2019-10-20
1003211467 Advanced Neuropsychiatric Health Professionals LLC Psychiatry & Neurology 2150 Peachford Rd Ste 1, Atlanta, GA 30338-6520 2014-10-28
1124331970 Albany Addiction Associates, Inc. D/b/a Private Clinic Albany Psychiatry & Neurology 2607 Ledo Rd, Albany, GA 31707-1211 2010-07-22
1780811166 Charles L Whitfield Psychiatry & Neurology 3462 Hallcrest Dr Ne, Atlanta, GA 30319-1910 2009-06-12
1003863788 Family Behavioral Care of Central Ga, PC Psychiatry & Neurology 3985 Arkwright Rd, Suite 102, Macon, GA 31210-1774 2006-05-28
1396277968 Psychiatric Professionals of Georgia Psychiatry & Neurology 1490 Distribution Dr Ste 150, Suwanee, GA 30024-2847 2017-04-01
1477097012 Hope Springs Wellness and Recovery Psychiatry & Neurology 800 Kennesaw Ave Nw, Suite 120, Marietta, GA 30060-1051 2016-12-16
1427484492 Db Chandora Mdpc Psychiatry & Neurology 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 2013-09-22
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Competitor

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City TIFTON
Zip Code 31794

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Dataset Information

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.

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