IRWIN COUNTY HOSPITAL (NPI# 1811397060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811397060 |
| Entity Type | Organization |
| Organization Name | IRWIN COUNTY HOSPITAL |
| Other Organization Name | WOMENS CENTER OF CYPRESS POND |
| Practice Address |
72 Kent Rd Tifton GA 31794-1694 |
| Mailing Address |
710 N Irwin Ave Ocilla GA 31774-5011 |
| Practice Telephone | 2293965873 |
| Practice Fax Number | 2293965876 |
| Mailing Telephone | 2294683800 |
| Mailing Fax Number | 2294689991 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | SHARON GRIFFIN (DIRECTOR OF FINANCIAL SERVICES) |
| Authorized Official Telephone | 2294683862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Womens Center of Cypress Pond | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098791 | Irwin County Hospital | General Acute Care Hospital | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2006-08-09 |
| 1962499038 | Irwin County Hospital | Skilled Nursing Facility | 201 W Dismuke Ave, Ocilla, GA 31774-1217 | 2005-10-04 |
| 1982142956 | Irwin County Hospital | Surgery | 602 N Irwin Ave, Ocilla, GA 31774-5030 | 2017-02-09 |
| 1033595327 | Irwin County Hospital | Family Medicine | 200 S Cherry St, Ocilla, GA 31774-1804 | 2015-08-10 |
| 1023418928 | Irwin County Hospital | Surgery | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2014-08-27 |
| 1649670894 | Irwin County Hospital | Internal Medicine | 134 Fleetwood Ave E, Willacoochee, GA 31650-2730 | 2014-08-25 |
| 1740680990 | Irwin County Hospital | Surgery | 357 Cargile Rd, Ocilla, GA 31774-3606 | 2014-08-25 |
| Street Address |
72 KENT RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356524359 | Amedisys Georgia, L.L.C. | Home Health | 72 Kent Rd, Ste 3, Tifton, GA 31794-1695 | 2007-12-12 |
| 1801301627 | Jessica Ann Boyd | Nurse Practitioner | 72 Kent Rd, Tifton, GA 31794-1694 | 2017-12-04 |
| 1780058677 | Nalitia Zow | Nurse Practitioner | 72 Kent Rd, Unit 4, Tifton, GA 31794-1694 | 2015-11-16 |
| 1598037632 | Southern Home Medical LLC | Durable Medical Equipment & Medical Supplies | 72 Kent Rd, Suite 6, Tifton, GA 31794-1694 | 2012-02-06 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275768087 | Rana Abdul-khalek | Obstetrics & Gynecology | 39 Kent Rd Ste 1, Tifton, GA 31794-1697 | 2009-05-22 |
| 1871752907 | Ana Margarita Hernandez Silen | Obstetrics & Gynecology | 1948 Old Ocilla Road, Tifton, GA 31794-1644 | 2008-06-04 |
| 1649281064 | James Andrew Howard | Obstetrics & Gynecology | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2006-08-10 |
| 1346258704 | Darrell W Jordan | Obstetrics & Gynecology | 1006 Greenfield Dr, Tifton, GA 31794-3794 | 2006-08-03 |
| 1891718870 | Shannon L. Price | Obstetrics & Gynecology | 39 Kent Road, Tifton, GA 31794 | 2006-07-25 |
| 1376589556 | Sandra Gail Brickman | Obstetrics & Gynecology | 1806 Lee Aveune, Tifton, GA 31794 | 2006-06-22 |
| 1679514319 | Bridgett Lowe Asbury | Obstetrics & Gynecology | 1806 Lee Ave, Tifton, GA 31794-3639 | 2006-06-10 |
| 1497738561 | David W Adcock II | Obstetrics & Gynecology | 1623 Old Ocilla Rd, Tifton, GA 31794-4173 | 2005-11-22 |
| 1477973410 | United Obstetrics & Gynecology | Obstetrics & Gynecology | 1806 Lee Ave, Tifton, GA 31794-3639 | 2014-04-17 |
| 1588084529 | United Obstetrics & Gynecology | Obstetrics & Gynecology | 1006 Greenfield Dr, Tifton, GA 31794-3794 | 2014-04-17 |
| 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.