Organization · Type 2 NPI

Tift Regional Health System, Inc

Multi-Specialty Clinic/Center · Tifton, GA

NPI number 1861022329 Active

Practice location

2225 US Highway 41 N
Tifton, GA 31794-2749

Call (229) 391-4100 Map

Fax (229) 391-4508

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Other practice locations

1111 20th St E, Tifton, GA 31794-3689 · (229) 391-4030

Specialties and licenses

Taxonomy	Code	License
Allergy & Immunology Physician	207K00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Gastroenterology Physician	207RG0100X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Psychiatry Physician	2084P0800X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

67 other providers at this address

Other multi-specialty clinic/center providers in Tifton

Southwell Ambulatory IncMulti-Specialty Clinic/Center Tifton, GA NPI 1306466206

See all in Tifton →

NPI record

NPI: 1861022329
Entity type: Organization (Type 2)
Issued: Jan 23, 2020
Last updated: Sep 3, 2025
Status: Active

Other names

<unavail>
Southwell Medical Clinic · doing business as
Southwell Medical Clinic · 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 1861022329

Tift Regional Health System, Inc's National Provider Identifier is 1861022329, issued on Jan 23, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tifton, GA. The record was last updated on Sep 3, 2025.