South Georgia Surgical Clinic PC
NPI 1770544694ActiveOrganization· Surgery, Vascular Surgery· Tifton, GA
Surgery, Vascular Surgery in Tifton, Georgia, registered in NPPES in March 2006. The authorized official on file is Joel M. Johnson, MD, President.
Overview
| NPI | 1770544694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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