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

Wayne Juwan Darisaw

Individual provider Anesthesiology Physician · NPI 1619530276

Wayne Juwan Darisaw is an Anesthesiology in Tifton, Georgia. Graduated from Morehouse School of Medicine in 2019, 7 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2019

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 100941 (GA)

Record details

NPI number1619530276
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tifton