TIFT COUNTY HOSPITAL AUTHORITY (NPI# 1003980996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003980996 |
| Entity Type | Organization |
| Organization Name | TIFT COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | WORKSMART |
| Practice Address |
4468 Union Rd Tifton GA 31794-8331 |
| Practice Telephone | 2293536320 |
| Practice Fax Number | 2293536343 |
| Mailing Telephone | 2293536320 |
| Mailing Fax Number | 2293536343 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | GINA BENNETT (PFS DIRECTOR) |
| Authorized Official Telephone | 2293536208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 137-180 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 137-180 | 01 |
| Other Name | Type Code |
|---|---|
| WorkSmart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1609262773 | Tift County Hospital Authority | Orthopaedic Surgery | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2015-04-15 |
| 1407911613 | Tift County Hospital Authority | Pharmacy | 901 18th St E, Tifton, GA 31794-3648 | 2006-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TIFT COUNTY HOSPITAL AUTHORITY | 901 East 18th Street, Tifton, GA 31794-3648 |
| Street Address |
4468 UNION RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790857381 | Langston B Cleveland | Family Medicine | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306244090 | Tift Regional Health System Inc | Clinic/Center | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2014-12-11 |
| 1558680462 | The Orthopedic Spine Center | Clinic/Center | 1622 Madison Ave, Tifton, GA 31794-3756 | 2010-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.