Coretta Delia Keith (NPI# 1306884374, PAC ID# 7012908114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306884374 |
| PAC ID by PECOS | 7012908114 |
| Professional Enrollment ID | I20040519000092 |
| Full Name | Coretta Delia Keith |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Address |
901 18th St E Tifton GA 31794-3648 |
| Phone Number | 2293827120 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193619971 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 18th St E, Tifton, GA 31794-3648 | 2293827120 | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda K Knight | Urology | Tift Regional Health System, Inc. | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Nancy Caroline Roe | Nurse Practitioner | Tift Regional Health System, Inc. | 2735 Central Ave S, Tifton, GA 31794-5645 |
| Joshua Clifton Pridemore | Chiropractic | Tift Regional Health System, Inc. | 1602 Madison Ave, Tifton, GA 31794-3756 |
| Anna M Demott Money | Nurse Practitioner | Tift Regional Health System, Inc. | 416 A E Mcpherson Ave, Nashville, GA 31639-2276 |
| Kyle E Fleck | Orthopedic Surgery | Tift Regional Health System, Inc. | 1610 John Orr Dr, Tifton, GA 31794-3682 |
| Christopher David Floyd | Nurse Practitioner | Tift Regional Health System, Inc. | 1623 Old Ocilla Rd, Tifton, GA 31794-4173 |
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Angela Lynn Vannortwick | Nurse Practitioner | Tift Regional Health System, Inc. | 907 18th St E, Suite 490, Tifton, GA 31794-3684 |
| Jason M Allen | Anesthesiology Assistant | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Lindsey Coffee Mcclain | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Street Address |
901 18TH ST E |
| City | TIFTON |
| State | GA |
| Zip | 31794-3648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priya Ravindran | Gastroenterology | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Gary Howard Fischer | Family Medicine | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Garrett Shane Surrency | Nurse Practitioner | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Peter J Gambino | Anesthesiology | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Sheetal Desai | Hospitalist | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Kuldeep Singh Talwar | Interventional Cardiology | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Bennie J Mullins Jr. | Certified Registered Nurse Anesthetist (crna) | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Elizabeth Norman | Physician Assistant | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Justin F Harrell | Family Medicine | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Joe Pitts Jr. | Nurse Practitioner | Tift Regional Health System, Inc. | 901 18th St E, Tifton, GA 31794-3648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TIFTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Coretta Delia Keith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.