TIFT REGIONAL HEALTH SYSTEM INC. (NPI# 1588294045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588294045 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC. |
| Practice Address |
416 E Mcpherson Ave Ste A Nashville GA 31639-2277 |
| Mailing Address |
907 18th St E Ste 400 Tifton GA 31794-3684 |
| Practice Telephone | 2296862093 |
| Practice Fax Number | 2296867150 |
| Mailing Telephone | 2293533422 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | LINDA A WILSON (VP, REVENUE CYCLE) |
| Authorized Official Telephone | 2293533400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwell Medical Nashville Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113235 | Tift Regional Health System Inc. | Family Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-01-23 |
| 1649800111 | Tift Regional Health System Inc. | Family Medicine | 2735 Central Ave S, Tifton, GA 31794-5645 | 2020-01-23 |
| 1487284956 | Tift Regional Health System Inc. | Family Medicine | 1010 W Franklin St, Sylvester, GA 31791-1900 | 2020-01-23 |
| 1962462226 | Tift Regional Health System Inc. | General Acute Care Hospital | 901 18th St E, Tifton, GA 31794-3648 | 2006-03-23 |
| Street Address |
416 E MCPHERSON AVE STE A |
| City | NASHVILLE |
| State | GA |
| Zip Code | 31639-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926229 | David Ryan Atkins | Nurse Practitioner | 416 E Mcpherson Ave Ste A, Nashville, GA 31639-2277 | 2006-08-05 |
| 1770841496 | Tift Regional Health System Inc | Family Medicine | 416 E Mcpherson Ave Ste A, Nashville, GA 31639-2277 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297538 | Jonathan David Wade | Family Medicine | 110 S Jefferson St, Nashville, GA 31639 | 2009-07-11 |
| 1952519449 | Sherrie Lynn Williams | Social Worker | 168 Oak Ridge Dr., Nashville, GA 31639 | 2007-05-18 |
| 1467665208 | Celestine Stiles | Family Medicine | 418 E. Mcpherson Ave, Nashville, GA 31639 | 2007-05-08 |
| 1710056668 | Berrien County Board of Education Program for Exceptional Students | Local Education Agency (LEA) | 909a N Davis St., Nashville, GA 31639 | 2006-11-07 |
| 1487762852 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 207 Mcpherson St, Nashville, GA 31639 | 2006-08-27 |
| 1427081033 | Quality Homecare Inc | Durable Medical Equipment & Medical Supplies | 711 North Davis St, Nashville, GA 31639 | 2006-07-08 |
| 1619954112 | Richard E Wheeler | Family Medicine | 416a East Mcpherson Ave, Nashville, GA 31639 | 2005-12-27 |
| 1639467038 | Southland-nashville Emergency Services, LLC. | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639 | 2011-07-19 |
| 1174189542 | Margaret Williams | Adult Companion | 808 Edgewood St Apt 103, Nashville, GA 31639-1177 | 2019-05-11 |
| 1922557792 | Ssss | Clinic/Center | 902 Pecan St, Nashville, GA 31639-1220 | 2016-09-22 |
| Find all providers in zip 31639 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710099106 | Physicians Practice Organization, Inc | Clinic/Center | 103 Willow St Ste B, Nashville, IN 47448-7605 | 2006-08-31 |
| 1184671463 | Washington County Hospital District | Clinic/Center | 705 S Grand Avenue, Nashville, IL 62263-1534 | 2006-05-30 |
| 1316555816 | Washington County Hospital District | Clinic/Center | 1245 S Mill St, Nashville, IL 62263-2004 | 2020-07-21 |
| 1326223876 | Healthcare of Berrien County | Clinic/Center | 1223 E Mcpherson Ave, Nashville, GA 31639-2351 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
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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.