Active NPIIndividual providerSole proprietor

Sandra A Adcock, FNP-BC

Nurse Practitioner, Family in Tifton, Georgia

NPI Number1659103695
Practice location
39 Kent RD Ste 8, Tifton, GA 31794-1697
Fax
229-386-4770
Last updated
November 25, 2025

Sandra Ann Adcock is a Nurse Practitioner, Family based in Tifton, GA. Sandra Ann Adcock practices in Tifton, GA and has the professional credentials of FNP-BC. The NPI Number for Sandra Ann Adcock is 1659103695 and holds a License No. aprn11034855 (FL). The current practice location address for Sandra Ann Adcock is 39 Kent RD Ste 8, Tifton, GA 31794-1697 and can be reached out via phone at 229-391-2910 and via fax at 229-386-4770.

Provider Profile Details

NPI Number
1659103695
Provider Name
Sandra Ann Adcock
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
39 Kent RD Ste 8, Tifton, GA 31794-1697
Phone Number
229-391-2910
Fax Number
229-386-4770
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2024
Last Update Date
November 25, 2025
Certification Date
November 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Kent RD Ste 8
Tifton, GA 31794-1697
City
Tifton
State
Georgia
Zip
31794-1697
Phone Number
229-391-2910
Fax Number
229-386-4770
Tifton, GA 31794Get directions →

Provider Business Mailing Address Details

Address
2100 Riveredge Pkwy Ste 4004TH
Atlanta, GA 30328-4693
City
Atlanta
State
GA
Zip
30328-4693
Phone Number
229-466-7791

License Information

License Number (1)
aprn11034855
License State (1)
FL
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
APRN299106
License State (2)
GA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra A Adcock, FNP-BC?

The NPI number of Sandra A Adcock, FNP-BC is 1659103695. It was assigned on August 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Sandra A Adcock, FNP-BC?

Sandra A Adcock, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number aprn11034855.

Where does Sandra A Adcock, FNP-BC practice?

The practice location is 39 Kent RD Ste 8, Tifton, GA 31794-1697. The office can be reached at 229-391-2910 (phone) or 229-386-4770 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659103695 directly on the NPPES registry website.

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