TIFT REGIONAL HEALTH SYSTEM INC (NPI# 1790280857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790280857 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC |
| Other Organization Name | TIFT REGIONAL OPTHALMOLOGY |
| Practice Address |
1803 Old Ocilla Road Tifton GA 31794 |
| Mailing Address |
907 E 18th Street Suite 150 Tifton GA 31794 |
| Practice Telephone | 2293862181 |
| Practice Fax Number | 2293862193 |
| Mailing Telephone | 2293533422 |
| Mailing Fax Number | 2293536060 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-11-01 |
| 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 |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tift Regional Opthalmology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428442 | Tift Regional Health System Inc | Nurse Practitioner | 1464 Carpenter Road S, Tifton, GA 31793 | 2019-07-01 |
| 1205106903 | Tift Regional Health System Inc | Internal Medicine | 813 N. Irwin Avenue, Ocilla, GA 31774 | 2012-01-11 |
| 1881964336 | Tift Regional Health System Inc | Internal Medicine | 417 S Broad St, Abbeville, GA 31001-4305 | 2011-12-30 |
| 1316268196 | Tift Regional Health System Inc | Plastic Surgery | 907 18th St E Ste 340, Tifton, GA 31794-3684 | 2010-06-16 |
| 1881203305 | Tift Regional Health System Inc | Family Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2020-07-30 |
| 1053933754 | Tift Regional Health System Inc | Internal Medicine | 39 Kent Rd Ste 1, Tifton, GA 31794-1697 | 2020-05-15 |
| 1063042562 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2020-01-23 |
| 1124679014 | Tift Regional Health System Inc | Family Medicine | 39 Kent Rd, Suite 2, Tifton, GA 31794-1697 | 2019-09-23 |
| 1548811540 | Tift Regional Health System Inc | Internal Medicine | 2227 Us Highway 41 N, Tifton, GA 31794 | 2019-09-23 |
| 1164925855 | Tift Regional Health System Inc | Occupational Therapist | 2227 Us Highway 41 N, Tifton, GA 31794 | 2018-03-09 |
| Street Address |
1803 OLD OCILLA ROAD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| 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 |
| 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 |
| 1396119186 | Rebecca Golden Waldrop | Speech-Language Pathologist | 117 3rd St E, Tifton, GA 31794 | 2015-11-17 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174969281 | Ronald Mitchell Hughes | Ophthalmology | 6307 Forest Lake Dr E, Tifton, GA 31794-2316 | 2013-05-15 |
| 1336150648 | Robert Jon Holme | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-11 |
| 1942689690 | William Johnson | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2015-05-28 |
| 1316343452 | Tifton Ophthalmology Associates. PC | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2014-11-18 |
| 1962846352 | Amedco Georgia LLC | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2013-04-29 |
| 1225193329 | Larry R Moorman M D, PC | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-12-27 |
| 1518978881 | Larry Russell Moorman | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-11 |
| 1841201134 | Bret Bouton Wagenhorst | Ophthalmology | 1803 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
| 1467814830 | David Jay Felsted | Ophthalmology | 1120 15th St Ste Ba-2701, Augusta, GA 30912-0004 | 2016-03-24 |
| 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.