TIFT REGIONAL HEALTH SYSTEM INC. (NPI# 1770113235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770113235 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC. |
| Practice Address |
2225 Us Highway 41 N Tifton GA 31794-2749 |
| Mailing Address |
907 18th St E Ste 400 Tifton GA 31794-3684 |
| Practice Telephone | 2293914100 |
| 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 Ocilla Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588294045 | Tift Regional Health System Inc. | Family Medicine | 416 E Mcpherson Ave Ste A, Nashville, GA 31639-2277 | 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 |
2225 US HIGHWAY 41 N |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323103 | Raymond G Moreno | Internal Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2005-06-02 |
| 1063039865 | Preston Glenn Thornhill | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-06-29 |
| 1861022329 | Tift Regional Health System, Inc | Allergy & Immunology | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-01-23 |
| 1013563733 | Emily Roxanne Hawsey | Internal Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2019-08-19 |
| 1285190918 | Radha J Patel | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2019-02-19 |
| 1154886745 | Emma Alsobrook | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2019-02-07 |
| 1174095434 | Shelley Colwell | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2018-12-27 |
| 1679043830 | Lindsay Peavy Drew | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2018-11-30 |
| 1740763911 | Casey Moran | Physical Therapist | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2018-09-12 |
| 1760969018 | Clayton Ross Tapp | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2018-07-19 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.