TIFT REGIONAL HEALTH SYSTEM, INC. (NPI# 1902909427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902909427 |
| Entity Type | Organization |
| Organization Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Other Organization Name | HOSPICE OF TIFT AREA |
| Practice Address |
104 8th St W Suite 1 Tifton GA 31794-3985 |
| Mailing Address |
Po Box 807 Tifton GA 31793-0807 |
| Practice Telephone | 2293536208 |
| Practice Fax Number | 2293537722 |
| Mailing Telephone | 2293533402 |
| Mailing Fax Number | 2293537722 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-04-29 |
| 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 | 251G00000X | Hospice Care, Community Based | 137-180 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000407569A | 05 |
| Other Name | Type Code |
|---|---|
| Hospice of Tift Area | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
| 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 |
| 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 |
104 8TH ST W SUITE 1 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3985 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477034361 | Affinis Hospice, LLC | Hospice Care, Community Based | 2402 Tift Ave N Ste 201, Tifton, GA 31794-1885 | 2018-08-28 |
| 1306350772 | Homestead Hospice of South Georgia, LLC | Hospice Care, Community Based | 110 10th St E Ste A, Tifton, GA 31794-4075 | 2017-11-21 |
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| 1477153492 | Legacy Hospice Ga | Hospice Care, Community Based | 1700 Frederica Rd Ste 205, St Simons Island, GA 31522-2583 | 2020-10-28 |
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| 1437762382 | Allaway Angels | Hospice Care, Community Based | 805 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2020-08-28 |
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1104434570 | An Angels Touch Hospice LLC | Hospice Care, Community Based | 2345 4th St Ste 600d, Tucker, GA 30084-8518 | 2020-07-21 |
| 1609494327 | Divine Guardian LLC | Hospice Care, Community Based | 2321 4th St Ste 210, Tucker, GA 30084-8516 | 2020-07-09 |
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
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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.