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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIFT REGIONAL HEALTH SYSTEM INC
NPI 1083522106
Family Medicine in Ocilla, GA

Active since August 31, 2026CLIA Certified · 8 labs
501 N IRWIN AVE STE B, OCILLA, GA 31774(229) 353-2250 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tift Regional Health System Inc NPPES

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

TIFT REGIONAL HEALTH SYSTEM INC (NPI 1083522106), doing business as Southwell Primary Care Ocilla, is a healthcare organization registered as a family medicine in Ocilla, Georgia and active in the NPI registry since August 2026. The organization holds 8 active CLIA laboratory certificates and lists Christopher Dorman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083522106
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address501 N IRWIN AVE STE BOcilla, GA 31774-5007
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422
Phone(229) 353-2250
Organization SubpartNo
Authorized OfficialChristopher DormanPresident/ceo · (229) 353-6121
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1083522106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 N IRWIN AVE STE B, Ocilla, GA 31774
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Other Names 1

Doing Business AsSouthwell Primary Care Ocilla

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

CLIA Laboratory Certificates CMS CLIA 8

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 11D2010734

Tift Regional Health System, Inc Dba Southwell Medical Community Hlth Ctr · Tifton, GA
Active · expires Aug 3, 2028
CLIA Number11D2010734
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 4, 2026
Certificate Expiration DateAugust 3, 2028
Laboratory DirectorCameron D. Nixon
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Medical Community Hlth Ctr2735 South Central Avenue, South, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0975985

Tift Regional Health System, Inc Dba Southwell Medical Nashville Primary Care · Nashville, GA
Active · expires Jul 20, 2028
CLIA Number11D0975985
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDr. Richard E. Wheeler
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Medical Nashville Primary Care416 A East Mcpherson Avenue, Nashville, GA 31639
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2080698

Tift Regional Health System, Inc Dba Employee Medical Home · Tifton, GA
Active · expires Jul 13, 2028
CLIA Number11D2080698
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorCameron D. Nixon
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Employee Medical Home907 18th Street E, Suite 260, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D0988576

Tift Regional Health System, Inc Affinity Clinic Blood Gas Lab · Tifton, GA
Active · expires Dec 13, 2027
CLIA Number11D0988576
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorDr. Rubal Patel
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Affinity Clinic Blood Gas Lab2225 Us Highway 41 N, Tifton, GA 31794
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 11D0933924

Tift Regional Health System, Inc Dba Southwell Health And Rehabilitation · Adel, GA
Active · expires Sep 24, 2027
CLIA Number11D0933924
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorVicent Valencia
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Health And Rehabilitation260 Mj Taylor Road, Adel, GA 31620
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2029429

Tift Regional Health System, Inc Dba Worksmart · Tifton, GA
Active · expires Sep 7, 2027
CLIA Number11D2029429
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorLangston B. Cleveland
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Worksmart4468 Union 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.

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 1083522106. It was assigned to this organization in the NPPES registry on August 31, 2026. The provider is doing business as Southwell Primary Care Ocilla.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 501 N Irwin Ave Ste B, Ocilla, GA 31774. The listed phone number is (229) 353-2250.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tift Regional Health System Inc hold CLIA laboratory certificates?

Yes. 8 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.

When was this NPI record last updated?

The NPPES record for Tift Regional Health System Inc was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.