TIFT REGIONAL VASCULAR
NPI 1184080079
Surgery - Vascular Surgery in Tifton, GA

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

The NPI number for Tift Regional Health System Inc is 1184080079. It was assigned to this organization in the NPPES registry on January 7, 2016. The provider is doing business as Tift Regional Vascular.

Q: What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since January 07, 2016

1641 MADISON AVE, TIFTON, GA 31794(229) 353-2284(229) 353-2285 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: Jun 8, 2021, Nov 1, 2019, Feb 18, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Tift Regional Vascular NPPES

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

TIFT REGIONAL VASCULAR (NPI 1184080079) is a healthcare organization registered as a vascular surgery in Tifton, Georgia and active in the NPI registry since January 2016. The organization lists Christopher Dorman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1184080079

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC

Location Address1641 MADISON AVETifton, GA 31794-3757

Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422

Phone(229) 353-2284

Fax(229) 353-2285

Organization SubpartNo

Authorized OfficialChristopher DormanPresident/ceo · (229) 353-6104

Enumeration DateJanuary 7, 2016

Last NPPES UpdateJune 24, 20224 updates tracked since enumeration

NPPES CertifiedJune 24, 2022

✔ NPI 1184080079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1641 MADISON AVE, Tifton, GA 31794

Open in Google Maps ↗

Other Names 1

Doing Business AsTift Regional Vascular

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

RHONDA JORDAN SLP

Speech-Language Pathologist