1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Clinic Center
  6. NPI Profile

TIFT REGIONAL WOUND CARE CENTER
NPI 1306244090
Clinic/Center in Tifton, GA

Active since December 11, 2014
907 18TH ST E, SUITE 140, TIFTON, GA 31794(229) 353-4325 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2021, Nov 1, 2019 (2 updates tracked since 2019).

About Tift Regional Wound Care Center NPPES

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

TIFT REGIONAL WOUND CARE CENTER (NPI 1306244090) is a healthcare organization registered as a clinic/center in Tifton, Georgia and active in the NPI registry since December 2014. The organization lists Christopher Dorman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306244090
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address907 18TH ST E, SUITE 140Tifton, GA 31794-3643
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422
Phone(229) 353-4325
Organization SubpartNo
Authorized OfficialChristopher DormanPresident/ceo · (229) 353-6104
Enumeration DateDecember 11, 2014
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1306244090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · 031888
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
907 18TH ST E, Tifton, GA 31794
Open in Google Maps ↗

Other Names 1

Doing Business AsTift Regional Wound Care Center

Accepted Insurance

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

Tift Regional Wound Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

559

Medicare enrollment records show 559 clinicians reassign Medicare billing to Tift Regional Wound Care Center, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 231 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner119
Internal Medicine81
Family Practice38
Certified Registered Nurse Anesthetist (CRNA)37
Anesthesiology30
Gastroenterology21
Urology20
Hospitalist19
37 other specialties194

Nearest to this location (20)

See all 559
David Atkins, APRN-BC
Nurse Practitioner
NPI 1013926229
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
Logan Balkcom
Anesthesiology Assistant
NPI 1891457768
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts MedicareSame address
Jessica Beier, M.D.
Pathology
NPI 1366437444
901 18TH ST E
Tifton, GA 31794
(229) 392-1153
✔ PECOS✔ Accepts MedicareSame address
Penny Booth, CFNP
Nurse Practitioner
NPI 1710078423
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Anna Bowen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932474046
901 18TH ST E
Tifton, GA 31794
(229) 353-6124
✔ Accepts MedicareSame address
Clinton Brown, AA
Anesthesiology Assistant
NPI 1528138997
901 18TH ST E
Tifton, GA 31794
(229) 353-6208
✔ Accepts MedicareSame address
Troy Clifton, MD
Family Practice
NPI 1114096617
901 18TH ST E
Tifton, GA 31794
(229) 353-6051
✔ PECOS✔ Accepts MedicareSame address
Anna Driggers, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154788446
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts MedicareSame address
Peter Gambino, D.O.
Anesthesiology
NPI 1134356827
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Robert Jeter, MD
Family Practice
NPI 1366929598
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Henry Leboyd, MD
Pediatric Medicine
NPI 1891106795
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
Todd Lilje, DO
Emergency Medicine
NPI 1194895573
901 18TH ST E
Tifton, GA 31794
(229) 353-6208
✔ PECOSSame address
James Macdonald, M.D.
Pathology
NPI 1639164296
901 18TH ST E
Tifton, GA 31794
(229) 353-7535
✔ PECOS✔ Accepts MedicareSame address
Noreen Mian, MD
Pediatric Medicine
NPI 1073849337
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
Andrew Nackashi, DO
General Surgery
NPI 1821449059
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Eric Paulk
Emergency Medicine
NPI 1760673420
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Cynthia Phillips, D.O.
Internal Medicine
NPI 1972539708
901 18TH ST E
Tifton, GA 31794
(229) 353-6051
✔ PECOS✔ Accepts MedicareSame address
Abeeku Ricks, M.D.
Internal Medicine
NPI 1205368222
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
James Wang, D.O.
Anesthesiology
NPI 1255313631
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
William Hancock, M.D.
Cardiovascular Disease (Cardiology)
NPI 1265423339
907 E 18TH STREET STE 100
Tifton, GA 31794
(229) 391-9980
✔ PECOS✔ Accepts MedicareSame address
See all 559 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1306244090. It was assigned to this organization in the NPPES registry on December 11, 2014. The provider is doing business as Tift Regional Wound Care Center.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 907 18th St E Suite 140, Tifton, GA 31794. The listed phone number is (229) 353-4325.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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), 559 clinicians in 45 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 (119), Internal Medicine (81) and Family Practice (38). Of these, 41 practice at this address and 231 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.