TIFT INTERNAL MEDICINE CTR (NPI# 1568499762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568499762 |
| Entity Type | Organization |
| Organization Name | TIFT INTERNAL MEDICINE CTR |
| Practice Address |
907 E 18th St Ste 340 Tifton GA 31794 |
| Practice Telephone | 2293913555 |
| Practice Fax Number | 2293913560 |
| Mailing Telephone | 2293913555 |
| Mailing Fax Number | 2293913560 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENT ALAN SAVELLI (OWNER PHYSICIAN) |
| Authorized Official Telephone | 2293913555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 044086 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UNITED HEALTHCARE | 0401686 | 01 |
| GA | 00760812D | 05 |
| Street Address |
907 E 18TH ST STE 340 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| 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 | 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 |
|---|---|---|---|---|
| 1184927972 | Gowdy Enterprises | Internal Medicine | 2406 Tift Ave N, Suite 202, Tifton, GA 31794-1886 | 2010-12-16 |
| 1538322730 | Hardik Patel | Internal Medicine | 132 Brownlee Cir, Tifton, GA 31794-1651 | 2008-07-08 |
| 1093703738 | Johnny Joe Stephens Jr. | Internal Medicine | 1623 Madison Ave, Tifton, GA 31794-3757 | 2005-10-06 |
| 1154323103 | Raymond G Moreno | Internal Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2005-06-02 |
| 1548811540 | Tift Regional Health System Inc | Internal Medicine | 2227 Us Highway 41 N, Tifton, GA 31794 | 2019-09-23 |
| 1013563733 | Emily Roxanne Hawsey | Internal Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2019-08-19 |
| 1205368222 | Abeeku Ayize Ricks | Internal Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2017-03-29 |
| 1588016539 | Swathi Sree Nutakki | Internal Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2016-07-01 |
| 1164714416 | Channing Janaci Hampton | Internal Medicine | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2011-05-04 |
| 1326271669 | Tift Regional Health System Inc | Internal Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2009-09-03 |
| Find all providers in TIFTON | ||||
Please comment or provide details below to improve the information on TIFT INTERNAL MEDICINE CTR.
| 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.