Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tift Regional Health System Inc

Organization Family Medicine Physician · NPI 1063042562

Tift Regional Health System Inc is a Family Medicine Physician in Ashburn, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Washington Ave
Ashburn, GA 31714-5315
Phone: (229) 567-3407
Fax: (229) 567-4467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1063042562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Dorman — President/Ceo · (229) 353-6104
Other names Southwell Medical Ashburn Primary Care; Southwell Medical Ashburn Primary Care
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Other providers in Ashburn