Organization · Type 2 NPI

Tift Regional Health System Inc.

Rural Health Clinic/Center · Tifton, GA

NPI number 1649800111 Active

Practice location

2735 Central Ave S
Tifton, GA 31794-5645

Call (229) 388-5690 Map

Fax (229) 388-5685

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Kristi Childs, AGNPAdult Health Nurse Practitioner Tifton, GA NPI 1619439270
Lindsey Durden Fletcher, NP-CAdult Health Nurse Practitioner Tifton, GA NPI 1255992558

NPI record

NPI: 1649800111
Entity type: Organization (Type 2)
Issued: Jan 23, 2020
Last updated: Jun 24, 2022
Status: Active

Other names

<unavail>
Southwell Medical Community Health Center · doing business as
Southwell Medical Community Health Center · doing business as

Authorized official

Christopher Dorman
President/ceo
(229) 353-6104

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649800111

Tift Regional Health System Inc.'s National Provider Identifier is 1649800111, issued on Jan 23, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tifton, GA. The record was last updated on Jun 24, 2022.