SOUTHWELL NEPHROLOGY
NPI 1053933754
Internal Medicine - Nephrology in Tifton, GA
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 2 active CLIA laboratory certificates and lists Christopher Dorman, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwell Nephrology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
375Medicare enrollment records show 375 clinicians reassign Medicare billing to Southwell Nephrology, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 194 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 375Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 11D2192188
Southwell Nephrology · Tifton, GACertificate of Waiver 11D2309356
Tift Regional Health System, Inc Dba Tift Regional Urology · Tifton, GAFrequently 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.
Is Tift Regional Health System Inc enrolled in Medicare?
Yes. Tift Regional Health System Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tift Regional Health System Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 375 clinicians in 42 Medicare specialties reassign their Medicare billing to Tift Regional Health System Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (93), Internal Medicine (48) and Anesthesiology (22). Of these, 15 practice at this address and 194 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tift Regional Health System Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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.
# Southwell Nephrology · NPI 1053933754
Nephrology organization in Tifton, Georgia. Organization record, active in the CMS NPPES registry since May 15, 2020.
## Identity
- **NPI:** 1053933754 (Entity type: Organization)
- **Enumerated:** May 15, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Legal business name:** Tift Regional Health System Inc
- **Organization subpart:** No
- **Authorized official:** Christopher Dorman, PRESIDENT/CEO
## Practice location
- **Address:** 39 KENT RD STE 1, Tifton, GA 31794-1697
- **Phone:** (229) 391-4310 · **Fax:** (229) 391-4243
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 375 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (93), Internal Medicine (48), Anesthesiology (22); 15 practice at this address and 194 within 10 miles; [full list](https://npiprofile.com/npi/1053933754/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053933754) · Data from the CMS NPPES public registry.