| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023217171 | GEORGIA SPORTS MEDICINE AND ORTHOPEDIC CLINIC, PC | PO BOX 7630 | TIFTON | GA | 317937630 | |||
| 1831161652 | PATEL | SHANTU | NAGIN | PO BOX 7630 | TIFTON | GA | 317937630 | |
| 1538299888 | RIDLEY | ALES | CALEB | 907 18TH ST E | TIFTON | GA | 317943643 |