TIFT REGIONAL HEALTH SYSTEM INC (NPI# 1205106903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205106903 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC |
| Other Organization Name | OCILLA PRIMARY CARE |
| Practice Address |
813 N. Irwin Avenue Ocilla GA 31774 |
| Mailing Address |
907 18th St E Suite 150 Tifton GA 31794-3643 |
| Practice Telephone | 2293914100 |
| Mailing Telephone | 2293533422 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2019-10-30 |
| 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 | 207R00000X | Internal Medicine | 046104 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ocilla Primary Care | 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 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 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 |
813 N. IRWIN AVENUE |
| City | OCILLA |
| State | GA |
| Zip Code | 31774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463605 | Mary Paulk | Technician | 303 N Elm Street, Ocilla, GA 31774 | 2019-08-20 |
| 1497051155 | Hospice Care Options Inc | Hospice Care, Community Based | 200 S Cherry St Ste A, Ocilla, GA 31774 | 2011-01-28 |
| 1578788410 | Howard C Mcmahan Md Irwin Family Medicine Associates | Family Medicine | 361 Cargile Road, Ocilla, GA 31774 | 2007-04-16 |
| 1720150071 | Irwin County Board of Education | Local Education Agency (LEA) | 210 Apple Street, Ocilla, GA 31774 | 2006-11-14 |
| 1376624569 | South Central Primary Care Center | Clinic/Center | 357 Cargile Rd, Ocilla, GA 31774 | 2006-10-17 |
| 1508979964 | Arturo Natada Ruanto | Family Medicine | 202 South Cherry St., Ocilla, GA 31774 | 2006-08-17 |
| 1861403727 | A & H Drugs LLC | Durable Medical Equipment & Medical Supplies | 615 N. Irwin Avenue, Ocilla, GA 31774 | 2006-08-10 |
| 1285009555 | Jessica Marie Lyons | Nurse Practitioner | 361 Cargile Road, Ocilla, GA 31774 | 2015-12-11 |
| 1649356981 | South Central Primary Care Center | Clinic/Center | 200 S Cherry St, Ocilla, GA 31774 | 2006-10-30 |
| 1831231216 | Irwin County Ems | Ambulance | 108 Cotton Drive, Ocilla, GA 31774-0501 | 2007-02-13 |
| Find all providers in zip 31774 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225119407 | Ashfaq Saiyed | Internal Medicine | 202 S Cherry St, Ocilla, GA 31774-1804 | 2006-10-17 |
| 1659374031 | Kathrine A Gibbons | Internal Medicine | 813 N Irwin Ave, Ocilla, GA 31774-3757 | 2005-05-31 |
| 1487158135 | Ich Physician Group | Internal Medicine | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2018-03-19 |
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|---|---|---|---|---|
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| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1770182586 | Nuberty Inc | Internal Medicine | 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 | 2020-10-22 |
| 1427664333 | Nations Medical Clinic Inc | Internal Medicine | 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 | 2020-09-17 |
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1013529577 | Willy Armand Yougang Tchoutang | Internal Medicine | 120 Stoney Creek Dr, Kathleen, GA 31047-3120 | 2020-08-17 |
| 1841800679 | Om Primary Care LLC | Internal Medicine | 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 | 2020-08-06 |
| 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.