Tiftarea Pediatrics
Tiftarea Pediatrics is a healthcare organization registered as Pediatrics Physician in Tifton, GA, holding Type 2 (organization) NPI 1154081271 since 2021. The authorized official on file is Mark Wilson, Co-Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154081271 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tiftarea Pediatrics |
| Practice address | 215 12TH ST W, Tifton, GA, 31794 |
| Phone | 9126904043 |
| Enumeration date | 2021-12-30 |
| Last updated in NPPES | 2022-11-02 |
Authorized official
| Name | Mark Wilson |
|---|---|
| Title | Co-Owner |
| Phone | 2293965335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Copy-ready billing details
Provider: Tiftarea Pediatrics NPI: 1154081271 Taxonomy: 208000000X (Pediatrics Physician) Address: 215 12TH ST W, Tifton, GA, 31794
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003132754 | Mark Wilson | Individual | Pediatrics Physician | Tifton, GA |
| 1093080541 | Elizabeth Wilson | Individual | Pediatric Nurse Practitioner | Tifton, GA |
Verify this record
Cross-check NPI 1154081271 against the authoritative CMS record: view Tiftarea Pediatrics on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Tiftarea Pediatrics?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-02.