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

Tift Regional Health System, Inc

Organization Cardiovascular Disease Physician · NPI 1205474954

Tift Regional Health System, Inc is a Cardiovascular Disease Physician in Tifton, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

1499 Kennedy Rd Ste A
Tifton, GA 31794-4177
Phone: (229) 353-4243
Fax: (229) 353-3673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1205474954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Dorman — President/Ceo · (229) 353-6104
Other names Southwell Chf And Copd Clinic; Southwell Chf And Copd Clinic
NPI enumeratedDecember 12, 2019
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing addressPo Box 2650, Tifton, GA 31793-2650

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