Provider Demographics
NPI:1922708254
Name:TBFF
Entity Type:Organization
Organization Name:TBFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINDHOM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:404-625-5907
Mailing Address - Street 1:150 SESSIONS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2317
Mailing Address - Country:US
Mailing Address - Phone:404-625-5907
Mailing Address - Fax:
Practice Address - Street 1:150 SESSIONS DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2317
Practice Address - Country:US
Practice Address - Phone:404-625-5907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)