1. Home
  2. Directory
  3. Georgia
  4. Ocilla
  5. Pediatrics
  6. NPI Profile

OCILLA PEDIATRICS
NPI 1033506340
Pediatrics in Ocilla, GA

Active since April 24, 2015CLIA 11D1019633 · Accreditation
813 N IRWIN AVE, OCILLA, GA 31774(229) 468-7323(229) 468-7320 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2021, Feb 5, 2020 (2 updates tracked since 2020).

About Ocilla Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCILLA PEDIATRICS (NPI 1033506340) is a healthcare organization registered as a pediatrics in Ocilla, Georgia and active in the NPI registry since April 2015. The organization holds an CLIA Accreditation certificate valid through January 28, 2028 and lists Christopher Dorman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1033506340
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address813 N IRWIN AVEOcilla, GA 31774-3757
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422
Phone(229) 468-7323
Fax(229) 468-7320
Organization SubpartNo
Authorized OfficialChristopher DormanPresident/ceo · (229) 353-6104
Enumeration DateApril 24, 2015
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1033506340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 064200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
813 N IRWIN AVE, Ocilla, GA 31774
Open in Google Maps ↗

Other Names 1

Doing Business AsOcilla Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D1019633

Tift Regional Health System, Inc Anita Stewart Oncology Center · Tifton, GA
Active · expires Jan 28, 2028
CLIA Number11D1019633
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorDr. Jessica W. Beier
Laboratory Phone(229) 353-3422
Laboratory LocationTift Regional Health System, Inc Anita Stewart Oncology Center1623 Madison Avenue, Tifton, GA 31793
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D2309356

Tift Regional Health System, Inc Dba Tift Regional Urology · Tifton, GA
Expired · Aug 13, 2026
CLIA Number11D2309356
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorJeffry Peters
Laboratory Phone(229) 353-3422
Laboratory LocationTift Regional Health System, Inc Dba Tift Regional Urology1815 Old Ocilla Road, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM CASEY CONNER MD
Pediatrics
813 N IRWIN AVE
OCILLA, GA 31774
Irwin County (229) 468-7323
KATHRINE A GIBBONS MD
Internal Medicine
813 N IRWIN AVE
OCILLA, GA 31774
Irwin County (229) 468-7323
MRS. CATHERINE GIDDENS BOWEN NP-C
Nurse Practitioner (Family)
813 N IRWIN AVE
OCILLA, GA 31774
Irwin County (229) 468-7323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tift Regional Health System Inc's NPI number?

The NPI number for Tift Regional Health System Inc is 1033506340. It was assigned to this organization in the NPPES registry on April 24, 2015. The provider is doing business as Ocilla Pediatrics.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 813 N Irwin Ave, Ocilla, GA 31774. The listed phone number is (229) 468-7323.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Tift Regional Health System Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D1019633) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tift Regional Health System Inc accept?

Health plans from Alliant Health Plans, Inc. list Tift Regional Health System Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tift Regional Health System Inc was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.