TIFT REGIONAL HEALTH SYSTEM, INC. (NPI# 1538474002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538474002 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Practice Address |
103 East James Street Adel GA 31620 |
| Mailing Address |
Po Box 807 Tifton GA 31793-0807 |
| Practice Telephone | 2298963424 |
| Practice Fax Number | 2298963838 |
| Mailing Telephone | 2293533402 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2020-07-27 |
| 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 |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003109531B | 05 |
| Other Name | Type Code |
|---|---|
| Cook Family Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871816918 | Tift Regional Health System, Inc. | Specialist | 172 Mj Taylor Rd, Adel, GA 31620-3497 | 2010-03-03 |
| 1295833960 | Tift Regional Health System, Inc. | Clinic/Center | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2006-09-20 |
| 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 |
103 EAST JAMES STREET |
| City | ADEL |
| State | GA |
| Zip Code | 31620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1144699141 | Alexander Warren | Nurse Practitioner | 110 S Hutchinson Ave, Adel, GA 31620 | 2015-09-20 |
| 1427388578 | Newhaven | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 South Hutchinson Avenue, Adel, GA 31620 | 2010-01-12 |
| 1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
| 1457424616 | Cook County Board of Education | Local Education Agency (LEA) | 1109 N Parrish Ave, Adel, GA 31620 | 2006-11-16 |
| 1366513210 | Thomas D Fausett Jr. | Family Medicine | 707 N Parrish Ave, Adel, GA 31620 | 2006-11-13 |
| 1689765851 | Chris T. Hilliard | Dentist | 130 S. Parrish Ave., Adel, GA 31620 | 2006-09-27 |
| 1245247303 | Mark A Clegg | Dentist | 606 N Hutchinson Ave, Adel, GA 31620 | 2006-08-02 |
| 1336102938 | Dca of Adel LLC | Clinic/Center | 701 North Hutchinson Avenue, Adel, GA 31620 | 2006-04-07 |
| 1558351809 | Lansing Charis Hillman | Family Medicine | 308 N Parrish Ave, Adel, GA 31620 | 2005-10-27 |
| Find all providers in zip 31620 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688112 | Child and Family Enrichment Agency Inc. | Clinic/Center | 602 N Hutchinson Ave, Adel, GA 31620-1900 | 2020-10-27 |
| 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.