TIFT REGIONAL HEALTH SYSTEM INC (NPI# 1740428838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740428838 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM INC |
| Other Organization Name | TIFT REGIONAL MEDICAL CENTER D/B/A SOUTHERN SPINE CENTER |
| Practice Address |
1622 Madison Ave Tifton GA 31794-3756 |
| Mailing Address |
901 18th St E Tifton GA 31794-3648 |
| Practice Telephone | 2293885625 |
| Practice Fax Number | 2293885633 |
| Mailing Telephone | 2293885625 |
| Mailing Fax Number | 2293885633 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | LINDA A WILSON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 2293533400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 048965 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI/HEWETT M SIMS | 1386653061 | 01 |
| GA | 368937772D | 05 | |
| GA | NPI/CANDICE CAIN | 1306856638 | 01 |
| Other Name | Type Code |
|---|---|
| Tift Regional Medical Center d/b/a Southern Spine 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 |
1622 MADISON AVE |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437331006 | Tifton Orthopaedic Clinic, PC | Specialist | 1622 Madison Ave, Tifton, GA 31794-3756 | 2007-12-05 |
| 1003305707 | Harley's Endeavors, LLC | Non-Pharmacy Dispensing Site | 1622 Madison Ave, Tifton, GA 31794-3756 | 2018-05-08 |
| 1417470162 | Vicy Wiggins Carroll | Nurse Practitioner | 1622 Madison Ave, Tifton, GA 31794-3756 | 2017-07-24 |
| 1841617602 | Rodney A Mullins | Nurse Practitioner | 1622 Madison Ave, Tifton, GA 31794-3756 | 2014-03-18 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1558680462 | The Orthopedic Spine Center | Clinic/Center | 1622 Madison Ave, Tifton, GA 31794-3756 | 2010-05-18 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528163102 | James William Scott | Orthopaedic Surgery | 2227 Us Hwy 41 N, Tifton, GA 31794 | 2006-09-14 |
| 1316964208 | William Leslie Hornback IIi | Orthopaedic Surgery | 1622 Madison Avenue, Tifton, GA 31794-1228 | 2006-07-16 |
| 1376920488 | Tift Regional Health System Inc | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2015-04-28 |
| 1609262773 | Tift County Hospital Authority | Orthopaedic Surgery | 1610 John Orr Dr, Tifton, GA 31794-3682 | 2015-04-15 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1184914319 | Kyle Fleck | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2011-04-08 |
| 1023217171 | Georgia Sports Medicine and Orthopedic Clinic, PC | Orthopaedic Surgery | 1610 John Orr Dr, Suite A, Tifton, GA 31794-3682 | 2007-07-17 |
| 1548340284 | Edward William Hellman | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2006-10-17 |
| 1730269473 | William Morgan Smith | Orthopaedic Surgery | 2227 Us Hwy 41n, Tifton, GA 31794 | 2006-10-17 |
| 1497740906 | David M Banks | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794 | 2005-09-12 |
| Find all providers in TIFTON | ||||
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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.