TIFT REGIONAL HEALTH SYSTEM INC (NPI# 1306244090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306244090 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC |
| Other Organization Name | TIFT REGIONAL WOUND CARE CENTER |
| Practice Address |
907 18th St E Suite 140 Tifton GA 31794-3643 |
| Mailing Address |
907 18th St E Suite 150 Tifton GA 31794-3643 |
| Practice Telephone | 2293534325 |
| Mailing Telephone | 2293534325 |
| Enumeration Date | 2014-12-11 |
| 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 | 261Q00000X | Clinic/Center | 031888 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tift Regional Wound Care Center | 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 |
| 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 |
| Street Address |
907 18TH ST E SUITE 140 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558805 | Norris Kent Burton | Family Medicine | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2005-09-13 |
| 1083148092 | Angela Lynn Vannortwick | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2017-04-17 |
| 1295133916 | Tift Regional Health System Inc | Family Medicine | 907 18th St E, Suite 130, Tifton, GA 31794-3643 | 2014-12-11 |
| 1295139673 | Gerlana S Vargas | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2014-10-14 |
| 1356778435 | Lee Michelle Brooks | Social Worker | 907 18th St E, Suite 150, Tifton, GA 31794-3643 | 2013-10-03 |
| 1790125813 | Elizabeth Ellen Smith | Nurse Practitioner | 907 18th St E, Suite 290, Tifton, GA 31794-3643 | 2013-07-03 |
| 1790026938 | Jessica L Patrick | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2013-03-13 |
| 1093050734 | Vernita S Moore | Nurse Practitioner | 907 18th St E, Suite 260, Tifton, GA 31794-3643 | 2012-12-06 |
| 1821128778 | Charles Derron Spikes | Plastic Surgery | 907 18th St E, Ste 340, Tifton, GA 31794-3643 | 2007-03-07 |
| 1053498840 | Georgia Griffis | Physician Assistant | 907 18th St E, Tifton, GA 31794-3643 | 2006-11-01 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558680462 | The Orthopedic Spine Center | Clinic/Center | 1622 Madison Ave, Tifton, GA 31794-3756 | 2010-05-18 |
| 1003980996 | Tift County Hospital Authority | Clinic/Center | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-20 |
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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.