1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Internal Medicine
  6. NPI Profile

SOUTHWELL NEPHROLOGY
NPI 1053933754
Internal Medicine - Nephrology in Tifton, GA

Active since May 15, 2020CLIA 11D2192188 · Waiver
39 KENT RD STE 1, TIFTON, GA 31794(229) 391-4310(229) 391-4243 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2021, May 15, 2020 (2 updates tracked since 2020).

About Southwell Nephrology NPPES

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

SOUTHWELL NEPHROLOGY (NPI 1053933754) is a healthcare organization registered as a nephrology in Tifton, Georgia and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Christopher Dorman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1053933754
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address39 KENT RD STE 1Tifton, GA 31794-1697
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422
Phone(229) 391-4310
Fax(229) 391-4243
Organization SubpartNo
Authorized OfficialChristopher DormanPresident/ceo · (229) 353-6104
Enumeration DateMay 15, 2020
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1053933754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
39 KENT RD STE 1, Tifton, GA 31794
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwell Nephrology

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

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 Waiver 11D2192188

Southwell Nephrology · Tifton, GA
Active · expires Sep 7, 2026
CLIA Number11D2192188
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorAbduljalil Eifasi
Laboratory Phone(229) 353-6121
Laboratory LocationSouthwell Nephrology39 Kent Road, Suite 1, Tifton, GA 31794
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KASEY GRAHAM MAYS NP-C
Nurse Practitioner (Family)
39 KENT RD STE 1
TIFTON, GA 31794
Tift County (229) 391-4310
ABDULJALIL ELFASI MD
Internal Medicine (Nephrology)
39 KENT RD STE 1
TIFTON, GA 31794
Tift County (229) 391-4310
ON POINT HEALTH LLC
Clinic/Center (Primary Care)
39 KENT RD STE 1
TIFTON, GA 31794
Tift County (229) 234-0555
DR. DONOVAN KAINE BROWN M.D.
Internal Medicine
39 KENT RD STE 1
TIFTON, GA 31794
Tift County (229) 234-0555

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 1053933754. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider is doing business as Southwell Nephrology.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 39 Kent Rd Ste 1, Tifton, GA 31794. The listed phone number is (229) 391-4310.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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

Yes. A Certificate of Waiver (number 11D2192188) is associated with this NPI, valid through September 7, 2026. 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.