Ocilla Primary Care – Internal Medicine Physician, NPI 1205106903

Internal Medicine Physician

Ocilla Primary Care is a healthcare provider. based in Tifton, Georgia. specializing in Internal Medicine Physician. They hold a License No. 046104 (GA). The NPI Number for Ocilla Primary Care is 1205106903

Main info

Organization

Inactive

Name

Ocilla Primary Care

NPI

1205106903

Phone

(229) 353-3422

Address

907 18TH ST E

Deactivation Date

16 March 2022

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness80

Years active:0State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Ocilla Primary Care

907 18TH ST E
SUITE 150
TIFTON, GA 317943643
Phone: (229) 353-3422
Type: Mailing
813 N. IRWIN AVENUE
OCILLA, GA 31774
Phone: (229) 391-4100
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31794)

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Reviews

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Frequently asked questions

What is the standard ID for Ocilla Primary Care in the U.S.?

In the U.S., Ocilla Primary Care is identified by NPI 1205106903.

Does inactive mean outdated data for Ocilla Primary Care?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Ocilla Primary Care does?

Insurance directories may phrase it differently, but here Ocilla Primary Care maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Is Ocilla Primary Care tied to Tifton, Georgia?

If you are local to Tifton, Georgia, Ocilla Primary Care may be relevant to your search.

Can I export Ocilla Primary Care's record?

You can download the official NPPES record; we summarize key fields for readability.