TIFT REGIONAL HEALTH SYSTEM, INC. (NPI# 1295833960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295833960 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Other Organization Name | HEALTHPLUS - ASHBURN |
| Practice Address |
611 E Washington Ave Ashburn GA 31714-5315 |
| Mailing Address |
901 18th St E Tifton GA 31794-3648 |
| Practice Telephone | 2293532500 |
| Mailing Telephone | 2293536208 |
| Mailing Fax Number | 2293537722 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-04-29 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
137-180 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000545443A | 05 |
| Other Name | Type Code |
|---|---|
| HealthPlus - Ashburn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
| 1871816918 | Tift Regional Health System, Inc. | Specialist | 172 Mj Taylor Rd, Adel, GA 31620-3497 | 2010-03-03 |
| 1902909427 | Tift Regional Health System, Inc. | Hospice Care, Community Based | 104 8th St W, Suite 1, Tifton, GA 31794-3985 | 2006-09-07 |
| 1568410264 | Tift Regional Health System, Inc. | General Acute Care Hospital | 706 N Parrish Ave, Adel, GA 31620-2064 | 2006-05-04 |
| 1043514417 | Tift Regional Health System, Inc. | Psychiatric Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2010-12-29 |
| 1831298660 | Tift Regional Health System, Inc. | Clinic/Center | 1010 Edgefield Dr, Tifton, GA 31794-2408 | 2006-09-21 |
| 1366484503 | Tift Regional Health System, Inc. | Skilled Nursing Facility | 901 18th St E, Tifton, GA 31794-3648 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TIFT REGIONAL HEALTH SYSTEM, INC. | 901 18th St E, Tifton, GA 31794-3648 |
| Street Address |
611 E WASHINGTON AVE |
| City | ASHBURN |
| State | GA |
| Zip Code | 31714-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042562 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2020-01-23 |
| 1356776074 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2013-09-12 |
| 1851659650 | Mariel Danita Hepburn | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2012-04-30 |
| 1063676146 | Sonia C Wiggins | Nurse Practitioner | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2008-07-17 |
| 1154408938 | John W. Desimone | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050639 | Clinton Cawley | Student in an Organized Health Care Education/Training Program | 4022 Coverdale Hwy, Ashburn, GA 31714 | 2016-05-12 |
| 1972902369 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 237 E. Washington Ave., Ashburn, GA 31714 | 2014-08-21 |
| 1386952265 | United Rehab Inc. | Clinic/Center | 441 Industrial Blvd, Ashburn, GA 31714 | 2010-09-14 |
| 1518020122 | Christopher J. White | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2006-12-18 |
| 1477854693 | Susan Perkins Scott | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2010-11-04 |
| 1033448451 | Wendy M Hancock | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2009-12-14 |
| 1023157567 | Christopher J. White, Dds, Inc. | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1366580888 | Tracy S Bass | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1851465645 | Mary Grace Hobby I | Speech-Language Pathologist | 177 Hobby Ln, Ashburn, GA 31714-1926 | 2006-11-20 |
| 1992323554 | Montakesha Range Hillmon | Contractor | 1045 Martin Luther King Jr Dr Lot 42, Ashburn, GA 31714-2146 | 2020-07-10 |
| Find all providers in zip 31714 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205014 | Phoebe Worth Medical Center, Inc | Clinic/Center | 354 E Washington Ave, Ashburn, GA 31714-5222 | 2005-12-13 |
| 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.