TIFT REGIONAL HEALTH SYSTEM INC. (NPI# 1962462226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962462226 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC. |
| Other Organization Name | TIFT REGIONAL MEDICAL CENTER |
| Practice Address |
901 18th St E Tifton GA 31794-3648 |
| Practice Telephone | 2293536208 |
| Practice Fax Number | 2293537722 |
| Mailing Telephone | 2293536208 |
| Mailing Fax Number | 2293537722 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | LINDA A WILSON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 2293533400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 137-180 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TIF0095N | 05 | |
| GA | 000001922A | 05 | |
| LA | 1708569 | 05 | |
| MS | 1531063 | 05 |
| Other Name | Type Code |
|---|---|
| Tift Regional Medical Center | 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 |
| 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 |
| Street Address |
901 18TH ST E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819467 | William A Guest | Internal Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2005-05-31 |
| 1881203305 | Tift Regional Health System Inc | Family Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2020-07-30 |
| 1306466206 | Southwell Ambulatory Inc | Clinic/Center | 901 18th St E, Tifton, GA 31794-3648 | 2020-04-21 |
| 1407481146 | Justin Hugh Roberts | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2020-03-03 |
| 1558992479 | Justin Giddens | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2020-01-29 |
| 1629617147 | Taylor Burrage | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2020-01-01 |
| 1871155002 | Christina Lynn Davis | Nurse Practitioner | 901 18th St E, Tifton, GA 31794-3648 | 2019-07-09 |
| 1306323415 | Lorenzo Gomez | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2018-07-21 |
| 1720564677 | Erin Elizabeth Clemmons | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2018-07-13 |
| 1851891063 | Sarah Loepker | Nurse Practitioner | 901 18th St E, Tifton, GA 31794-3648 | 2018-02-14 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.