TIFT COUNTY HOSPITAL AUTHORITY (NPI# 1013315605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013315605 |
| Entity Type | Organization |
| Organization Name | TIFT COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | FITZGERALD PRIMARY CARE |
| Practice Address |
246 Ben Hill Drive Fitzgerald GA 31750 |
| Mailing Address |
907 18th St E Suite 150 Tifton GA 31794-3643 |
| Practice Telephone | 2294232400 |
| Practice Fax Number | 2294232472 |
| Mailing Telephone | 2294232400 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | LINDA A WILSON (VP PHYSICIAN SERVICES) |
| Authorized Official Telephone | 2293533403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 030071 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fitzgerald Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003980996 | Tift County Hospital Authority | Clinic/Center | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-20 |
| 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 |
246 BEN HILL DRIVE |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700270204 | Tift Regional Health System Inc | Obstetrics & Gynecology | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| 1811983091 | Derrick W Taylor | Internal Medicine | 110 Norman Dorminy Dr, Suite B, Fitzgerald, GA 31750 | 2005-09-23 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| 1346237096 | Edd C Jones IIi | Family Medicine | 182 Perry House Rd Ste H, Fitzgerald, GA 31750-8721 | 2005-09-28 |
| 1659364040 | Robert Vernon Reese | Family Medicine | 201 W Pine St, Fitzgerald, GA 31750-2863 | 2005-08-31 |
| 1538165386 | Eugene Hooks Jackson | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2005-06-27 |
| 1649599416 | David L Day | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2010-05-19 |
| 1457556375 | Durden Medical Clinic | Family Medicine | 110 Norman Dorminy Dr, Suite A, Fitzgerald, GA 31750-8858 | 2007-06-20 |
| 1538284278 | Robert A Ludwick, M.d.pc | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2007-03-20 |
| 1598842031 | Charles Henry Durden | Family Medicine | 110 Norman Dorminy Dr, Suite A, Fitzgerald, GA 31750-8858 | 2006-11-01 |
| Find all providers in FITZGERALD | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
Please comment or provide details below to improve the information on TIFT COUNTY HOSPITAL AUTHORITY.
| 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.