LORA FULP EFAW MD PC (NPI# 1902005689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902005689 |
| Entity Type | Organization |
| Organization Name | LORA FULP EFAW MD PC |
| Other Organization Name | CENTER FOR HEALING AND WELLNESS |
| Practice Address |
1807 Old Ocilla Rd Tifton GA 31794-1617 |
| Practice Telephone | 2293889393 |
| Practice Fax Number | 2293889855 |
| Mailing Telephone | 2293889393 |
| Mailing Fax Number | 2293889855 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MRS. LORA EFAW (PHYSICIAN) |
| Authorized Official Telephone | 2293889393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036727 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Healing and Wellness | Doing Business As Name - Organization |
| Street Address |
1807 OLD OCILLA RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184731564 | Priscilla R Greene | Nurse Practitioner | 1807 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-23 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689859720 | Family Health Center of Tiftarea | Family Medicine | 2016 Pineview Ave, Tifton, GA 31794-3035 | 2008-01-08 |
| 1790857381 | Langston B Cleveland | Family Medicine | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-15 |
| 1518036623 | Robert J Hawes | Family Medicine | 2225 U S Hwy 41 N, Tifton, GA 31794 | 2006-11-06 |
| 1568552602 | Quickcare LLC | Family Medicine | 1430 Hwy 82 W, Suite 105, Tifton, GA 31794-8036 | 2006-10-12 |
| 1134225501 | Tifton Family Medicine, PC | Family Medicine | 902 18th St East, Tifton, GA 31794 | 2006-09-15 |
| 1417913369 | Lora Denise Efaw | Family Medicine | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2006-04-20 |
| 1578558805 | Norris Kent Burton | Family Medicine | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2005-09-13 |
| 1023018561 | Carl David Johnson IIi | Family Medicine | 612 Love Ave, Tifton, GA 31794 | 2005-07-27 |
| 1639175680 | Richard Joseph Pierzchajlo | Family Medicine | 1489 Kennedy Rd, Tifton, GA 31794-4159 | 2005-06-23 |
| 1881203305 | Tift Regional Health System Inc | Family Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2020-07-30 |
| Find all providers in TIFTON | ||||
Please comment or provide details below to improve the information on LORA FULP EFAW MD PC.
| 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.